Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.33 / $930.00 / $4,432.00	Facility		$325.33	$930.00	$4,432.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.92 / $418.08 / $498.84	Facility	54	$234.92	$418.08	$498.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.49 / $313.22 / $574.38	Professional		$263.49	$313.22	$574.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,358.05 / $7,324.34	Facility		$330.07	$3,358.05	$7,324.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.10 / $522.82 / $655.99	Professional		$378.10	$522.82	$655.99
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 $316.58 / $454.27 / $653.36	Professional		$316.58	$454.27	$653.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.39 / $517.37 / $1,189.96	Professional		$349.39	$517.37	$1,189.96
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 $377.34 / $394.37 / $452.15	Professional		$377.34	$394.37	$452.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $511.28	Professional		$32.34	$32.34	$511.28
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 $285.30 / $404.47 / $704.71	Professional		$285.30	$404.47	$704.71