Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.71 / $999.44 / $4,933.00	Facility		$551.71	$999.44	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $413.78 / $429.70 / $471.59	Facility	54	$413.78	$429.70	$471.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.30 / $480.17 / $628.78	Professional		$389.30	$480.17	$628.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,077.46 / $2,438.34 / $3,303.56	Facility		$2,077.46	$2,438.34	$3,303.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $631.55 / $1,096.93	Professional		$125.70	$631.55	$1,096.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.01 / $515.91 / $919.19	Professional		$353.01	$515.91	$919.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $468.48 / $2,877.00 / $4,933.00	Facility		$468.48	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $413.78 / $413.78 / $454.12	Facility	54	$413.78	$413.78	$454.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $445.19 / $538.75 / $723.68	Professional		$445.19	$538.75	$723.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $332.87 / $564.68	Professional		$68.50	$332.87	$564.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.05 / $548.12 / $746.26	Professional		$465.05	$548.12	$746.26