Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.28 / $2,056.00 / $4,933.00	Facility		$498.28	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.71 / $377.62 / $392.15	Facility	54	$373.71	$377.62	$392.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.98 / $498.28 / $646.60	Professional		$353.98	$498.28	$646.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.19 / $615.20 / $865.54	Facility		$525.19	$615.20	$865.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $599.57 / $1,000.36	Professional		$101.92	$599.57	$1,000.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.61 / $455.79 / $827.72	Professional		$297.61	$455.79	$827.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $391.28 / $2,056.00 / $4,933.00	Facility		$391.28	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $373.71 / $373.71 / $377.62	Facility	54	$373.71	$373.71	$377.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $391.28 / $493.36 / $653.03	Professional		$391.28	$493.36	$653.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $268.65 / $459.98	Professional		$33.96	$268.65	$459.98
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 $388.35 / $460.90 / $626.60	Professional		$388.35	$460.90	$626.60