Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.93 / $4,933.00 / $6,906.00	Facility		$946.93	$4,933.00	$6,906.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $871.58 / $871.58 / $903.87	Facility	54	$871.58	$871.58	$903.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $907.73 / $1,464.37	Professional		$738.41	$907.73	$1,464.37
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $126.31 / $174.32 / $180.77	Professional	55	$126.31	$174.32	$180.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,632.67 / $3,068.46 / $4,157.28	Facility		$2,632.67	$3,068.46	$4,157.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.20 / $1,330.61 / $2,095.71	Professional		$226.20	$1,330.61	$2,095.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.57 / $932.95 / $1,626.74	Professional		$696.57	$932.95	$1,626.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $901.48 / $4,933.00 / $8,060.00	Facility		$901.48	$4,933.00	$8,060.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $871.58 / $871.58 / $871.58	Facility	54	$871.58	$871.58	$871.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $820.72 / $984.86 / $1,498.04	Professional		$820.72	$984.86	$1,498.04
Health Alliance Plan Facility/Professional Professional Modifier 55 Low / Median / High Price $153.78 / $174.32 / $180.77	Professional	55	$153.78	$174.32	$180.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $626.60 / $1,000.18	Professional		$68.35	$626.60	$1,000.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.14 / $1,045.63 / $1,464.90	Professional		$892.14	$1,045.63	$1,464.90