Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.79 / $1,178.22 / $4,634.00	Facility		$538.79	$1,178.22	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.03 / $683.75 / $803.59	Facility	54	$384.03	$683.75	$803.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.43 / $512.04 / $915.95	Professional		$449.43	$512.04	$915.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $5,489.56 / $11,973.43	Facility		$330.07	$5,489.56	$11,973.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.86 / $850.22 / $1,089.32	Professional		$614.86	$850.22	$1,089.32
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 $504.99 / $741.06 / $1,098.30	Professional		$504.99	$741.06	$1,098.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.29 / $853.90 / $1,860.39	Professional		$575.29	$853.90	$1,860.39
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 $600.86 / $640.87 / $751.47	Professional		$600.86	$640.87	$751.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $849.73	Professional		$32.34	$32.34	$849.73
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 $490.13 / $667.53 / $1,150.30	Professional		$490.13	$667.53	$1,150.30