Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,758.00 / $5,580.00	Facility		$923.00	$2,758.00	$5,580.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $692.20 / $1,028.42 / $1,362.93	Facility	54	$692.20	$1,028.42	$1,362.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $916.36 / $1,384.45	Professional		$616.03	$916.36	$1,384.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $8,694.60 / $18,964.03	Facility		$3,138.27	$8,694.60	$18,964.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.95 / $1,317.99 / $1,436.47	Professional		$929.95	$1,317.99	$1,436.47
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 $766.58 / $1,062.69 / $1,555.73	Professional		$766.58	$1,062.69	$1,555.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $732.82 / $1,227.49 / $2,400.17	Professional		$732.82	$1,227.49	$2,400.17
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 $985.15 / $988.46 / $1,079.30	Professional		$985.15	$988.46	$1,079.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,220.44	Professional		$32.34	$32.34	$1,220.44
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 $719.79 / $950.13 / $1,646.29	Professional		$719.79	$950.13	$1,646.29