Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.82 / $780.84 / $3,636.00	Facility		$432.82	$780.84	$3,636.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.03 / $394.18 / $479.02	Facility	54	$226.03	$394.18	$479.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.97 / $318.35 / $584.91	Professional		$262.97	$318.35	$584.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,230.92 / $7,047.06	Facility		$330.07	$3,230.92	$7,047.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.55 / $504.10 / $685.80	Professional		$364.55	$504.10	$685.80
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 $306.80 / $444.67 / $650.14	Professional		$306.80	$444.67	$650.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.38 / $522.74 / $1,140.24	Professional		$359.38	$522.74	$1,140.24
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 $364.01 / $379.85 / $473.43	Professional		$364.01	$379.85	$473.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $535.34	Professional		$32.34	$32.34	$535.34
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 $297.02 / $408.81 / $698.99	Professional		$297.02	$408.81	$698.99