Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.30 / $468.69 / $2,747.00	Facility		$165.30	$468.69	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.71 / $349.00 / $486.45	Facility	54	$203.71	$349.00	$486.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $278.01 / $530.28	Professional		$222.40	$278.01	$530.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,911.88 / $6,351.19	Facility		$330.07	$2,911.88	$6,351.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.75 / $457.35 / $607.97	Professional		$330.75	$457.35	$607.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $403.43 / $564.80	Professional		$252.96	$403.43	$564.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $464.00 / $1,167.34	Professional		$318.58	$464.00	$1,167.34
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $344.68 / $419.58	Professional		$325.52	$344.68	$419.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $474.44	Professional		$32.34	$32.34	$474.44
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.89 / $348.50 / $604.52	Professional		$254.89	$348.50	$604.52