Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,677.00 / $7,123.00	Facility		$825.00	$2,677.00	$7,123.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.36 / $1,098.53 / $1,291.01	Facility	54	$515.36	$1,098.53	$1,291.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $903.31 / $1,512.22	Professional		$597.41	$903.31	$1,512.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,808.27 / $7,054.74 / $14,119.34	Facility		$4,808.27	$7,054.74	$14,119.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.40 / $998.32 / $1,091.45	Professional		$704.40	$998.32	$1,091.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $974.74 / $1,654.30	Professional		$601.99	$974.74	$1,654.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $572.37 / $974.73 / $3,351.47	Professional		$572.37	$974.73	$3,351.47
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 $744.08 / $751.04 / $817.52	Professional		$744.08	$751.04	$817.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $924.42	Professional		$32.34	$32.34	$924.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,951.00 / $12,241.00	Facility		$1,400.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $891.17 / $1,261.72 / $2,043.77	Professional		$891.17	$1,261.72	$2,043.77