Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.37 / $915.73 / $4,432.00	Facility		$314.37	$915.73	$4,432.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.92 / $382.37 / $472.36	Facility	54	$221.92	$382.37	$472.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $339.36 / $618.54	Professional		$266.20	$339.36	$618.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,428.75 / $7,478.54	Facility		$330.07	$3,428.75	$7,478.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.73 / $529.21 / $599.62	Professional		$356.73	$529.21	$599.62
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 $312.10 / $445.86 / $659.65	Professional		$312.10	$445.86	$659.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $351.91 / $506.94 / $1,354.57	Professional		$351.91	$506.94	$1,354.57
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 $359.72 / $371.35 / $439.40	Professional		$359.72	$371.35	$439.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $496.86	Professional		$32.34	$32.34	$496.86
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 $287.10 / $419.88 / $656.47	Professional		$287.10	$419.88	$656.47