Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,989.00 / $7,723.00	Facility		$813.00	$2,989.00	$7,723.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $394.43 / $650.76 / $875.99	Facility	54	$394.43	$650.76	$875.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $664.33 / $1,136.57	Professional		$416.30	$664.33	$1,136.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,820.25 / $4,954.30 / $10,805.96	Facility		$2,820.25	$4,954.30	$10,805.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.45 / $842.44 / $1,148.41	Professional		$543.45	$842.44	$1,148.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.97 / $727.76 / $1,173.19	Professional		$494.97	$727.76	$1,173.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.30 / $878.21 / $1,951.84	Professional		$486.30	$878.21	$1,951.84
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 $572.70 / $579.67 / $866.89	Professional		$572.70	$579.67	$866.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $980.25	Professional		$32.34	$32.34	$980.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.61 / $765.61 / $1,399.87	Professional		$590.61	$765.61	$1,399.87