Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,445.44 / $5,623.41	Facility		$549.54	$1,445.44	$5,623.41
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	54	$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,288.25	Professional		$457.09	$575.44	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $10,964.78	Facility		$2,089.30	$2,511.89	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,096.48	Professional		$602.56	$831.76	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,071.52	Professional		$501.19	$707.95	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $2,454.71	Professional		$562.34	$870.96	$2,454.71
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 $588.84 / $630.96 / $758.58	Professional		$588.84	$630.96	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,677.35	Facility		$1,096.48	$2,290.87	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,071.52	Professional		$467.74	$630.96	$1,071.52