Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.60 / $880.81 / $4,933.00	Facility		$620.60	$880.81	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $465.45 / $483.35 / $524.29	Facility	54	$465.45	$483.35	$524.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $538.22 / $740.48	Professional		$409.00	$538.22	$740.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.53 / $615.20 / $865.54	Facility		$521.53	$615.20	$865.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $702.06 / $1,163.94	Professional		$139.72	$702.06	$1,163.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.79 / $603.52 / $1,028.00	Professional		$388.79	$603.52	$1,028.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $2,056.00 / $4,933.00	Facility		$525.24	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $465.45 / $465.45 / $504.88	Facility	54	$465.45	$465.45	$504.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $500.59 / $617.41 / $880.81	Professional		$500.59	$617.41	$880.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $363.83 / $610.76	Professional		$68.50	$363.83	$610.76
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 $521.77 / $618.34 / $843.05	Professional		$521.77	$618.34	$843.05