Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.03 / $1,262.60 / $4,634.00	Facility		$507.03	$1,262.60	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $380.27 / $684.74 / $870.28	Facility	54	$380.27	$684.74	$870.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.87 / $509.10 / $986.24	Professional		$450.87	$509.10	$986.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,435.75 / $11,856.06	Facility		$2,202.15	$5,435.75	$11,856.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.54 / $837.32 / $1,108.96	Professional		$605.54	$837.32	$1,108.96
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 $514.85 / $732.44 / $1,115.14	Professional		$514.85	$732.44	$1,115.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $586.53 / $850.51 / $2,182.73	Professional		$586.53	$850.51	$2,182.73
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 $589.59 / $631.16 / $765.17	Professional		$589.59	$631.16	$765.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $865.46	Professional		$32.34	$32.34	$865.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $692.41 / $1,177.03	Professional		$507.91	$692.41	$1,177.03