Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.37 / $1,152.69 / $4,933.00	Facility		$574.37	$1,152.69	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $414.83 / $430.78 / $476.42	Facility	54	$414.83	$430.78	$476.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $496.35 / $718.79	Professional		$393.50	$496.35	$718.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.30 / $1,124.77 / $1,523.88	Facility		$958.30	$1,124.77	$1,523.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $691.91 / $1,097.75	Professional		$126.41	$691.91	$1,097.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.60 / $505.88 / $911.66	Professional		$356.60	$505.88	$911.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $477.74 / $1,115.09 / $4,933.00	Facility		$477.74	$1,115.09	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $414.83 / $414.83 / $458.77	Facility	54	$414.83	$414.83	$458.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $432.97 / $553.10 / $791.26	Professional		$432.97	$553.10	$791.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $349.28 / $553.00	Professional		$68.50	$349.28	$553.00
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.03 / $555.53 / $752.28	Professional		$467.03	$555.53	$752.28