Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.44 / $469.25 / $4,933.00	Facility		$280.44	$469.25	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.92 / $307.30 / $343.87	Facility	54	$295.92	$307.30	$343.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $351.17 / $584.20	Professional		$276.31	$351.17	$584.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.67 / $575.90 / $780.26	Facility		$490.67	$575.90	$780.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $503.53 / $800.11	Professional		$81.52	$503.53	$800.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $367.38 / $656.11	Professional		$258.72	$367.38	$656.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $280.44 / $466.74 / $4,933.00	Facility		$280.44	$466.74	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $295.92 / $295.92 / $331.13	Facility	54	$295.92	$295.92	$331.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $309.43 / $397.71 / $583.66	Professional		$309.43	$397.71	$583.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $237.63 / $415.07	Professional		$33.92	$237.63	$415.07
United Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $1,155.00 / $1,844.00	Facility		$174.86	$1,155.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.43 / $396.42 / $539.10	Professional		$335.43	$396.42	$539.10