Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $2,056.00 / $4,933.00	Facility		$79.29	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.65 / $39.65 / $41.17	Facility	52	$39.65	$39.65	$41.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $79.29 / $94.96	Professional		$53.19	$79.29	$94.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.71 / $982.05 / $1,330.53	Facility		$836.71	$982.05	$1,330.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $92.25 / $174.79	Professional		$17.34	$92.25	$174.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $97.40 / $184.07	Professional		$47.30	$97.40	$184.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $84.66 / $2,056.00 / $4,933.00	Facility		$84.66	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $39.65 / $39.65 / $39.65	Facility	52	$39.65	$39.65	$39.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $84.66 / $138.43	Professional		$66.68	$84.66	$138.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.01 / $96.85	Professional		$54.90	$68.01	$96.85
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $100.50 / $168.16	Professional		$67.31	$100.50	$168.16