Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.92 / $923.00 / $4,500.00	Facility		$248.92	$923.00	$4,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.79 / $310.29 / $374.36	Facility	54	$173.79	$310.29	$374.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.57 / $235.74 / $452.49	Professional		$196.57	$235.74	$452.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,484.23 / $5,418.45	Facility		$330.07	$2,484.23	$5,418.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $385.62 / $505.80	Professional		$278.88	$385.62	$505.80
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 $242.31 / $350.64 / $507.63	Professional		$242.31	$350.64	$507.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $397.42 / $901.90	Professional		$280.50	$397.42	$901.90
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 $284.83 / $292.14 / $347.32	Professional		$284.83	$292.14	$347.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $392.74	Professional		$32.34	$32.34	$392.74
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $741.00 / $3,357.00	Facility		$165.00	$741.00	$3,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.59 / $309.19 / $533.45	Professional		$232.59	$309.19	$533.45