Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.81 / $1,225.00 / $4,634.00	Facility		$499.81	$1,225.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $367.94 / $654.05 / $769.74	Facility	54	$367.94	$654.05	$769.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.16 / $490.58 / $872.09	Professional		$416.16	$490.58	$872.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $5,259.41 / $11,471.45	Facility		$330.07	$5,259.41	$11,471.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.11 / $813.23 / $1,005.80	Professional		$588.11	$813.23	$1,005.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.09 / $700.46 / $1,013.94	Professional		$481.09	$700.46	$1,013.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $539.61 / $790.60 / $1,663.21	Professional		$539.61	$790.60	$1,663.21
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 $576.10 / $612.91 / $693.75	Professional		$576.10	$612.91	$693.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $784.47	Professional		$32.34	$32.34	$784.47
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 $452.06 / $604.54 / $1,052.99	Professional		$452.06	$604.54	$1,052.99