Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.31 / $2,877.00 / $6,022.40	Facility		$289.31	$2,877.00	$6,022.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $139.30 / $144.66 / $796.68	Facility	52	$139.30	$144.66	$796.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $338.51 / $1,593.35	Professional		$207.59	$338.51	$1,593.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,986.29 / $4,227.67 / $9,979.64	Facility		$2,986.29	$4,227.67	$9,979.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $338.82 / $435.63	Professional		$67.11	$338.82	$435.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $756.14 / $1,643.35	Professional		$222.64	$756.14	$1,643.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $364.53 / $2,319.94 / $5,995.92	Facility		$364.53	$2,319.94	$5,995.92
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $139.30 / $139.30 / $767.17	Facility	52	$139.30	$139.30	$767.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $217.29 / $866.63 / $1,673.01	Professional		$217.29	$866.63	$1,673.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $950.70 / $1,188.38 / $1,709.50	Professional		$950.70	$1,188.38	$1,709.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.84 / $1,240.98 / $1,914.20	Professional		$946.84	$1,240.98	$1,914.20