Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.27 / $1,055.00 / $3,221.00	Facility		$516.27	$1,055.00	$3,221.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $341.54 / $599.38 / $798.86	Facility	54	$341.54	$599.38	$798.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $489.25 / $946.07	Professional		$397.69	$489.25	$946.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $4,882.10 / $10,648.47	Facility		$2,202.15	$4,882.10	$10,648.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.42 / $756.97 / $1,026.74	Professional		$547.42	$756.97	$1,026.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.79 / $679.35 / $981.35	Professional		$464.79	$679.35	$981.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $538.03 / $786.39 / $1,868.96	Professional		$538.03	$786.39	$1,868.96
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 $532.95 / $570.66 / $708.47	Professional		$532.95	$570.66	$708.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $802.13	Professional		$32.34	$32.34	$802.13
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.67 / $638.94 / $1,068.81	Professional		$458.67	$638.94	$1,068.81