Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.71 / $2,056.00 / $4,933.00	Facility		$600.71	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $450.53 / $450.53 / $467.87	Facility	54	$450.53	$450.53	$467.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.56 / $600.71 / $747.83	Professional		$422.56	$600.71	$747.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.84 / $656.88 / $1,246.43	Professional		$122.84	$656.88	$1,246.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.12 / $537.84 / $999.02	Professional		$348.12	$537.84	$999.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $467.67 / $2,056.00 / $4,933.00	Facility		$467.67	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $450.53 / $450.53 / $450.53	Facility	54	$450.53	$450.53	$450.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $467.67 / $537.82 / $779.12	Professional		$467.67	$537.82	$779.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $332.95 / $565.53	Professional		$68.50	$332.95	$565.53
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 $463.56 / $547.79 / $750.19	Professional		$463.56	$547.79	$750.19