Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $973.00 / $4,634.00	Facility		$242.85	$973.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $159.77 / $285.44 / $343.38	Facility	54	$159.77	$285.44	$343.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $225.67 / $412.50	Professional		$180.64	$225.67	$412.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,283.86 / $4,981.39	Facility		$330.07	$2,283.86	$4,981.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.06 / $355.46 / $490.40	Professional		$257.06	$355.46	$490.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.31 / $327.45 / $481.79	Professional		$224.31	$327.45	$481.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $262.87 / $375.31 / $867.61	Professional		$262.87	$375.31	$867.61
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 $260.94 / $269.19 / $337.06	Professional		$260.94	$269.19	$337.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $381.14	Professional		$32.34	$32.34	$381.14
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 $221.84 / $301.79 / $512.24	Professional		$221.84	$301.79	$512.24