Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.18 / $5,084.85 / $10,658.67	Facility		$924.18	$5,084.85	$10,658.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $462.09 / $462.09 / $462.09	Facility	52	$462.09	$462.09	$462.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.64 / $904.38 / $1,227.51	Professional		$753.64	$904.38	$1,227.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,297.95 / $6,174.95 / $8,366.08	Facility		$5,297.95	$6,174.95	$8,366.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.06 / $680.36 / $1,251.86	Professional		$185.06	$680.36	$1,251.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.80 / $921.13 / $1,488.88	Professional		$674.80	$921.13	$1,488.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $924.17 / $4,933.00 / $10,658.67	Facility		$924.17	$4,933.00	$10,658.67
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $462.09 / $462.09 / $462.09	Facility	52	$462.09	$462.09	$462.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $820.16 / $924.17 / $1,338.50	Professional		$820.16	$924.17	$1,338.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $621.13 / $928.33	Professional		$65.66	$621.13	$928.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.66 / $1,089.53 / $1,503.20	Professional		$835.66	$1,089.53	$1,503.20