Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.51 / $477.75 / $5,091.00	Facility		$208.51	$477.75	$5,091.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $106.62 / $193.78 / $233.62	Facility	54	$106.62	$193.78	$233.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $154.00 / $293.50	Professional		$123.35	$154.00	$293.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $1,524.04 / $3,324.13	Facility		$330.07	$1,524.04	$3,324.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $236.34 / $331.47	Professional		$170.91	$236.34	$331.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $214.00 / $238.90	Facility		$214.00	$214.00	$238.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $213.62 / $310.94	Professional		$149.16	$213.62	$310.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.34 / $252.66 / $508.62	Professional		$175.34	$252.66	$508.62
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 $178.89 / $180.74 / $225.90	Professional		$178.89	$180.74	$225.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $255.44	Professional		$32.34	$32.34	$255.44
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 $145.79 / $205.17 / $350.02	Professional		$145.79	$205.17	$350.02