Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.81 / $3,198.02 / $4,155.18	Facility		$325.81	$3,198.02	$4,155.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,487.12 / $4,487.12 / $4,487.12	Facility	50	$4,487.12	$4,487.12	$4,487.12
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.29 / $129.29 / $559.91	Facility	52	$129.29	$129.29	$559.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.72 / $51.72 / $223.97	Facility	53	$51.72	$51.72	$223.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.96 / $421.16 / $1,119.83	Professional		$219.96	$421.16	$1,119.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,990.54 / $5,954.73 / $9,643.45	Facility		$2,990.54	$5,954.73	$9,643.45
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,691.65 / $3,187.31 / $6,466.40	Facility	50	$1,691.65	$3,187.31	$6,466.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $404.03 / $516.27	Professional		$62.25	$404.03	$516.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $622.39 / $1,361.64	Professional		$208.77	$622.39	$1,361.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $809.61 / $2,877.00 / $4,155.18	Facility		$809.61	$2,877.00	$4,155.18
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $4,487.12 / $4,487.12 / $4,487.12	Facility	50	$4,487.12	$4,487.12	$4,487.12
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $129.29 / $129.29 / $559.91	Facility	52	$129.29	$129.29	$559.91
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $51.72 / $51.72 / $223.97	Facility	53	$51.72	$51.72	$223.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $258.57 / $809.61 / $1,343.79	Professional		$258.57	$809.61	$1,343.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $706.71 / $883.39 / $1,265.02	Professional		$706.71	$883.39	$1,265.02
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 $910.81 / $1,115.35 / $1,496.42	Professional		$910.81	$1,115.35	$1,496.42