Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.21 / $930.00 / $4,634.00	Facility		$141.21	$930.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $93.72 / $169.83 / $246.16	Facility	54	$93.72	$169.83	$246.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $137.55 / $250.58	Professional		$107.40	$137.55	$250.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $1,339.68 / $2,922.03	Facility		$330.07	$1,339.68	$2,922.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $208.46 / $288.27	Professional		$150.76	$208.46	$288.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.99 / $196.99 / $219.92	Facility		$196.99	$196.99	$219.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.52 / $190.16 / $276.22	Professional		$130.52	$190.16	$276.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $219.73 / $493.42	Professional		$152.13	$219.73	$493.42
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 $156.05 / $158.19 / $197.77	Professional		$156.05	$158.19	$197.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $223.63	Professional		$32.34	$32.34	$223.63
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 $129.31 / $175.38 / $307.68	Professional		$129.31	$175.38	$307.68