Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.60 / $714.62 / $5,757.00	Facility		$634.60	$714.62	$5,757.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,688.36 / $3,638.10 / $8,635.50	Facility	50	$2,688.36	$3,638.10	$8,635.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.10 / $634.60 / $913.38	Professional		$505.10	$634.60	$913.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $757.56 / $1,663.88	Professional	50	$252.52	$757.56	$1,663.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,227.61 / $2,596.36 / $3,517.65	Facility		$2,227.61	$2,596.36	$3,517.65
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,193.64 / $1,628.73 / $2,293.82	Facility	50	$1,193.64	$1,628.73	$2,293.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $853.50 / $1,292.55	Professional		$139.51	$853.50	$1,292.55
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,316.58 / $1,316.58 / $1,485.15	Professional	50	$1,316.58	$1,316.58	$1,485.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.44 / $637.16 / $2,343.69	Professional		$458.44	$637.16	$2,343.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $625.34 / $727.48 / $5,757.00	Facility		$625.34	$727.48	$5,757.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,688.36 / $3,979.75 / $9,649.46	Facility	50	$2,688.36	$3,979.75	$9,649.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $532.39 / $634.60 / $900.42	Professional		$532.39	$634.60	$900.42
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $828.27 / $1,663.88	Professional	50	$252.52	$828.27	$1,663.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $419.26 / $701.23	Professional		$67.94	$419.26	$701.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.46 / $698.52 / $925.16	Professional		$566.46	$698.52	$925.16