Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.85 / $973.28 / $4,432.00	Facility		$312.85	$973.28	$4,432.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.64 / $414.87 / $501.28	Facility	54	$234.64	$414.87	$501.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.79 / $316.70 / $610.54	Professional		$270.79	$316.70	$610.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,353.98 / $7,315.46	Facility		$330.07	$3,353.98	$7,315.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.06 / $525.54 / $691.58	Professional		$380.06	$525.54	$691.58
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 $302.60 / $458.06 / $684.54	Professional		$302.60	$458.06	$684.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $351.99 / $530.41 / $1,118.32	Professional		$351.99	$530.41	$1,118.32
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 $382.50 / $396.85 / $476.37	Professional		$382.50	$396.85	$476.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $538.66	Professional		$32.34	$32.34	$538.66
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 $312.63 / $417.04 / $716.67	Professional		$312.63	$417.04	$716.67