Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,468.00 / $9,653.54	Facility		$923.00	$3,468.00	$9,653.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $150.24 / $150.24 / $321.17	Facility	53	$150.24	$150.24	$321.17
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $563.39 / $563.39 / $1,204.38	Facility	54	$563.39	$563.39	$1,204.38
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $112.68 / $112.68 / $240.88	Facility	55	$112.68	$112.68	$240.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $751.18 / $1,189.51	Professional		$584.94	$751.18	$1,189.51
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $98.38 / $113.68 / $178.43	Professional	55	$98.38	$113.68	$178.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,167.08 / $8,552.25 / $15,434.98	Facility		$6,167.08	$8,552.25	$15,434.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.66 / $1,095.07 / $1,201.34	Professional		$772.66	$1,095.07	$1,201.34
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 $658.39 / $931.24 / $1,401.88	Professional		$658.39	$931.24	$1,401.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $1,081.01 / $3,667.93	Professional		$635.89	$1,081.01	$3,667.93
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 $814.92 / $826.66 / $896.75	Professional		$814.92	$826.66	$896.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,014.02	Professional		$32.34	$32.34	$1,014.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,050.00 / $5,978.00 / $11,427.00	Facility		$2,050.00	$5,978.00	$11,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.60 / $890.96 / $1,497.05	Professional		$671.60	$890.96	$1,497.05