Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,379.00 / $5,091.00	Facility		$538.00	$1,379.00	$5,091.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.11 / $639.15 / $752.72	Facility	54	$360.11	$639.15	$752.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $480.15 / $941.54	Professional		$399.50	$480.15	$941.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,147.59 / $11,227.55	Facility		$2,202.15	$5,147.59	$11,227.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.29 / $796.89 / $969.83	Professional		$576.29	$796.89	$969.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.94 / $678.72 / $985.01	Professional		$464.94	$678.72	$985.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $526.33 / $787.19 / $1,711.38	Professional		$526.33	$787.19	$1,711.38
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 $563.77 / $600.61 / $668.85	Professional		$563.77	$600.61	$668.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $756.32	Professional		$32.34	$32.34	$756.32
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 $440.86 / $593.94 / $1,018.03	Professional		$440.86	$593.94	$1,018.03