Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.22 / $1,272.00 / $4,634.00	Facility		$538.22	$1,272.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $372.37 / $667.91 / $774.62	Facility	54	$372.37	$667.91	$774.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $496.49 / $900.39	Professional		$424.80	$496.49	$900.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $5,322.81 / $11,609.73	Facility		$330.07	$5,322.81	$11,609.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.17 / $818.84 / $1,080.03	Professional		$592.17	$818.84	$1,080.03
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 $502.92 / $733.46 / $1,086.79	Professional		$502.92	$733.46	$1,086.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $573.02 / $843.04 / $1,985.56	Professional		$573.02	$843.04	$1,985.56
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 $575.16 / $617.47 / $744.93	Professional		$575.16	$617.47	$744.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $842.34	Professional		$32.34	$32.34	$842.34
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 $491.84 / $683.37 / $1,142.22	Professional		$491.84	$683.37	$1,142.22