Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $973.00 / $4,200.00	Facility		$349.00	$973.00	$4,200.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.84 / $435.10 / $526.45	Facility	54	$248.84	$435.10	$526.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $331.79 / $631.59	Professional		$288.17	$331.79	$631.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,557.06 / $7,758.40	Facility		$330.07	$3,557.06	$7,758.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.80 / $551.45 / $720.77	Professional		$398.80	$551.45	$720.77
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 $320.02 / $481.54 / $715.70	Professional		$320.02	$481.54	$715.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $370.27 / $559.58 / $1,316.85	Professional		$370.27	$559.58	$1,316.85
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 $398.65 / $415.69 / $497.26	Professional		$398.65	$415.69	$497.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $567.63	Professional		$32.34	$32.34	$567.63
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 $325.95 / $437.62 / $746.37	Professional		$325.95	$437.62	$746.37