Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.25 / $760.87 / $4,933.00	Facility		$238.25	$760.87	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.13 / $123.54 / $394.53	Facility	52	$119.13	$123.54	$394.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $468.95 / $789.05	Professional		$171.50	$468.95	$789.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.81 / $234.48 / $394.53	Professional	52	$97.81	$234.48	$394.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.92 / $907.86 / $1,230.00	Facility		$778.92	$907.86	$1,230.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $251.67 / $357.64	Professional		$45.04	$251.67	$357.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $371.87 / $1,078.75	Professional		$192.56	$371.87	$1,078.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $238.25 / $760.87 / $4,933.00	Facility		$238.25	$760.87	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $119.13 / $119.13 / $380.44	Facility	52	$119.13	$119.13	$380.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $567.50 / $826.07	Professional		$238.25	$567.50	$826.07
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $112.11 / $234.48 / $394.53	Professional	52	$112.11	$234.48	$394.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.40 / $581.28 / $832.91	Professional		$467.40	$581.28	$832.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.04 / $815.72 / $1,037.45	Professional		$644.04	$815.72	$1,037.45