Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.45 / $3,788.40 / $5,448.14	Facility		$196.45	$3,788.40	$5,448.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.92 / $37.42 / $87.28	Facility	53	$35.92	$37.42	$87.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $245.19 / $436.39	Professional		$167.03	$245.19	$436.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,169.84 / $2,532.86 / $3,450.45	Facility		$2,169.84	$2,532.86	$3,450.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $149.35 / $284.48	Professional		$40.24	$149.35	$284.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $250.06 / $509.83	Professional		$155.19	$250.06	$509.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $294.25 / $3,788.40 / $5,448.14	Facility		$294.25	$3,788.40	$5,448.14
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $35.92 / $35.92 / $83.79	Facility	53	$35.92	$35.92	$83.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $298.77 / $525.36	Professional		$183.68	$298.77	$525.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $340.62 / $487.77	Professional		$272.49	$340.62	$487.77
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 $284.86 / $367.61 / $534.70	Professional		$284.86	$367.61	$534.70