Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.83 / $1,289.00 / $4,634.00	Facility		$664.83	$1,289.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $498.62 / $818.74 / $1,062.23	Facility	54	$498.62	$818.74	$1,062.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.75 / $766.64 / $1,276.88	Professional		$569.75	$766.64	$1,276.88
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $447.81 / $574.98 / $906.63	Professional	54	$447.81	$574.98	$906.63
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $89.56 / $115.00 / $181.33	Professional	55	$89.56	$115.00	$181.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.71 / $6,263.11 / $13,660.64	Facility		$1,332.71	$6,263.11	$13,660.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $1,059.04 / $1,206.73	Professional		$683.34	$1,059.04	$1,206.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.32 / $840.85 / $1,242.00	Professional		$581.32	$840.85	$1,242.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $558.20 / $958.57 / $1,961.12	Professional		$558.20	$958.57	$1,961.12
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 $720.92 / $728.74 / $907.08	Professional		$720.92	$728.74	$907.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,025.69	Professional		$32.34	$32.34	$1,025.69
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $806.52 / $1,429.90	Professional		$606.53	$806.52	$1,429.90