Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.86 / $2,056.00 / $4,933.00	Facility		$613.86	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $460.40 / $469.13 / $487.17	Facility	54	$460.40	$469.13	$487.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.53 / $613.86 / $649.55	Professional		$431.53	$613.86	$649.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $298.05 / $419.33	Facility		$252.67	$298.05	$419.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $738.00 / $1,195.57	Professional		$125.46	$738.00	$1,195.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.48 / $550.55 / $1,021.91	Professional		$366.48	$550.55	$1,021.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $482.65 / $2,056.00 / $4,933.00	Facility		$482.65	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $460.40 / $460.40 / $469.13	Facility	54	$460.40	$460.40	$469.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $482.65 / $564.38 / $779.28	Professional		$482.65	$564.38	$779.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $351.43 / $577.11	Professional		$68.50	$351.43	$577.11
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 $479.26 / $564.87 / $772.81	Professional		$479.26	$564.87	$772.81