Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.74 / $3,185.00 / $8,089.00	Facility		$941.74	$3,185.00	$8,089.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $706.31 / $706.31 / $1,508.17	Facility	54	$706.31	$706.31	$1,508.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.30 / $973.33 / $1,489.55	Professional		$823.30	$973.33	$1,489.55
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $123.50 / $142.24 / $223.43	Professional	55	$123.50	$142.24	$223.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,185.36 / $9,425.44 / $19,350.50	Facility		$6,185.36	$9,425.44	$19,350.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.73 / $1,368.70 / $1,504.41	Professional		$965.73	$1,368.70	$1,504.41
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 $824.68 / $1,163.94 / $1,757.27	Professional		$824.68	$1,163.94	$1,757.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $796.31 / $1,337.80 / $4,526.97	Professional		$796.31	$1,337.80	$4,526.97
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 $1,017.86 / $1,035.20 / $1,120.83	Professional		$1,017.86	$1,035.20	$1,120.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,267.40	Professional		$32.34	$32.34	$1,267.40
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 $863.74 / $1,179.69 / $1,881.39	Professional		$863.74	$1,179.69	$1,881.39