Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.45 / $560.20 / $4,933.00	Facility		$334.45	$560.20	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $250.84 / $260.48 / $290.81	Facility	54	$250.84	$260.48	$290.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.87 / $335.81 / $564.63	Professional		$229.87	$335.81	$564.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.19 / $371.80 / $501.22	Facility		$315.19	$371.80	$501.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $308.14 / $541.20	Professional		$55.15	$308.14	$541.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $299.05 / $558.01	Professional		$220.24	$299.05	$558.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $560.20 / $4,933.00	Facility		$272.27	$560.20	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $250.84 / $250.84 / $280.04	Facility	54	$250.84	$250.84	$280.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $347.31 / $531.27	Professional		$272.06	$347.31	$531.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $195.22 / $360.97	Professional		$33.81	$195.22	$360.97
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 $265.93 / $321.70 / $443.83	Professional		$265.93	$321.70	$443.83