Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $1,000.19 / $4,634.00	Facility		$333.00	$1,000.19	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.71 / $408.84 / $499.53	Facility	54	$234.71	$408.84	$499.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.62 / $318.66 / $585.04	Professional		$270.62	$318.66	$585.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,355.03 / $7,317.75	Facility		$330.07	$3,355.03	$7,317.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.57 / $522.09 / $694.84	Professional		$377.57	$522.09	$694.84
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 $317.82 / $455.06 / $679.34	Professional		$317.82	$455.06	$679.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.29 / $529.71 / $1,167.67	Professional		$363.29	$529.71	$1,167.67
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 $379.35 / $393.50 / $479.51	Professional		$379.35	$393.50	$479.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $542.21	Professional		$32.34	$32.34	$542.21
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 $310.64 / $422.27 / $717.92	Professional		$310.64	$422.27	$717.92