Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.10 / $716.86 / $4,933.00	Facility		$658.10	$716.86	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $475.29 / $493.58 / $537.65	Facility	54	$475.29	$493.58	$537.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.68 / $543.21 / $887.27	Professional		$444.68	$543.21	$887.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,543.66 / $1,811.80 / $2,454.69	Facility		$1,543.66	$1,811.80	$2,454.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $605.54 / $1,305.71	Professional		$128.66	$605.54	$1,305.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.16 / $586.29 / $1,052.47	Professional		$400.16	$586.29	$1,052.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $545.94 / $716.86 / $4,933.00	Facility		$545.94	$716.86	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $475.29 / $475.29 / $517.73	Facility	54	$475.29	$475.29	$517.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $493.82 / $627.83 / $959.73	Professional		$493.82	$627.83	$959.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $363.80 / $610.76	Professional		$68.50	$363.80	$610.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.86 / $633.54 / $869.06	Professional		$545.86	$633.54	$869.06