Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.33 / $4,933.00 / $5,757.00	Facility		$1,102.33	$4,933.00	$5,757.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $826.75 / $826.75 / $857.37	Facility	54	$826.75	$826.75	$857.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $1,014.25 / $1,356.62	Professional		$761.10	$1,014.25	$1,356.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $119.70 / $165.35 / $171.47	Professional	55	$119.70	$165.35	$171.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,939.32 / $8,088.02 / $10,957.98	Facility		$6,939.32	$8,088.02	$10,957.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.87 / $788.99 / $1,325.50	Professional		$203.87	$788.99	$1,325.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.34 / $952.11 / $1,677.04	Professional		$671.34	$952.11	$1,677.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $840.30 / $4,933.00 / $5,757.00	Facility		$840.30	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $826.75 / $826.75 / $826.75	Facility	54	$826.75	$826.75	$826.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $836.96 / $896.89 / $1,143.16	Professional		$836.96	$896.89	$1,143.16
Health Alliance Plan Facility/Professional Professional Modifier 55 Low / Median / High Price $131.66 / $165.35 / $171.47	Professional	55	$131.66	$165.35	$171.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $595.95 / $931.35	Professional		$68.38	$595.95	$931.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,030.00 / $12,726.00	Facility		$3,500.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.75 / $1,078.88 / $1,483.47	Professional		$930.75	$1,078.88	$1,483.47