Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.88 / $2,056.00 / $9,575.56	Facility		$651.88	$2,056.00	$9,575.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.65 / $13,471.65 / $13,471.65	Facility	50	$0.65	$13,471.65	$13,471.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $567.33 / $821.36	Professional		$420.77	$567.33	$821.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,436.03 / $5,178.18 / $7,054.11	Facility		$4,436.03	$5,178.18	$7,054.11
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,406.71 / $3,627.69 / $4,599.89	Facility	50	$2,406.71	$3,627.69	$4,599.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $900.09 / $1,451.74	Professional		$143.07	$900.09	$1,451.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.77 / $617.57 / $1,119.89	Professional		$453.77	$617.57	$1,119.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $515.96 / $2,056.00 / $4,933.00	Facility		$515.96	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $0.65 / $0.85 / $13,471.65	Facility	50	$0.65	$0.85	$13,471.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $515.96 / $630.52 / $835.11	Professional		$515.96	$630.52	$835.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $394.68 / $648.94	Professional		$68.55	$394.68	$648.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,791.37 / $7,500.00 / $10,556.00	Facility		$2,791.37	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.90 / $624.91 / $833.23	Professional		$509.90	$624.91	$833.23