Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.50 / $464.00 / $4,933.00	Facility		$335.50	$464.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.63 / $261.30 / $272.24	Facility	54	$251.63	$261.30	$272.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $280.01 / $442.86	Professional		$222.33	$280.01	$442.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $216.06 / $292.73	Facility		$184.08	$216.06	$292.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $410.84 / $665.56	Professional		$78.06	$410.84	$665.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.43 / $296.83 / $560.80	Professional		$205.43	$296.83	$560.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $268.61 / $2,056.00 / $4,933.00	Facility		$268.61	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $251.63 / $251.63 / $262.16	Facility	54	$251.63	$251.63	$262.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $335.50 / $453.35	Professional		$254.30	$335.50	$453.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $155.39 / $363.33	Professional		$32.30	$155.39	$363.33
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $314.42 / $454.29	Professional		$261.66	$314.42	$454.29