Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.30 / $770.14 / $3,636.00	Facility		$437.30	$770.14	$3,636.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $297.88 / $528.55 / $625.80	Facility	54	$297.88	$528.55	$625.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.40 / $416.96 / $816.73	Professional		$354.40	$416.96	$816.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $4,257.95 / $9,287.12	Facility		$330.07	$4,257.95	$9,287.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.66 / $657.72 / $881.52	Professional		$475.66	$657.72	$881.52
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 $401.62 / $573.28 / $876.26	Professional		$401.62	$573.28	$876.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $461.93 / $671.90 / $1,536.32	Professional		$461.93	$671.90	$1,536.32
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 $469.48 / $496.46 / $607.54	Professional		$469.48	$496.46	$607.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $686.99	Professional		$32.34	$32.34	$686.99
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 $400.57 / $539.22 / $919.43	Professional		$400.57	$539.22	$919.43