Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $66.53 / $4,933.00	Facility		$32.08	$66.53	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $44.71 / $66.53	Professional		$25.23	$44.71	$66.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $64.19 / $90.31	Facility		$54.80	$64.19	$90.31
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $29.36 / $40.07 / $55.63	Facility	50	$29.36	$40.07	$55.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $27.71 / $42.42	Professional		$5.55	$27.71	$42.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $50.74 / $111.15	Professional		$24.39	$50.74	$111.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $2,056.00 / $4,933.00	Facility		$52.31	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $52.31 / $72.34	Professional		$29.96	$52.31	$72.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $67.87 / $95.12	Professional		$54.90	$67.87	$95.12
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $61.01 / $80.70	Professional		$52.29	$61.01	$80.70