Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $700.78 / $4,933.00	Facility		$464.00	$700.78	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $480.83 / $499.33 / $525.59	Facility	54	$480.83	$499.33	$525.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $546.84 / $700.78	Professional		$449.58	$546.84	$700.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $296.56 / $401.79	Facility		$252.67	$296.56	$401.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $731.85 / $1,213.34	Professional		$145.66	$731.85	$1,213.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.99 / $582.84 / $1,067.63	Professional		$391.99	$582.84	$1,067.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $314.82 / $2,056.00 / $4,933.00	Facility		$314.82	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $480.83 / $480.83 / $506.12	Facility	54	$480.83	$480.83	$506.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $505.22 / $630.94 / $878.56	Professional		$505.22	$630.94	$878.56
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 $523.92 / $624.58 / $851.09	Professional		$523.92	$624.58	$851.09