Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.15 / $2,877.00 / $4,933.00	Facility		$221.15	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,241.43 / $4,241.43 / $6,346.03	Facility	50	$4,241.43	$4,241.43	$6,346.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $262.43 / $348.51	Professional		$174.43	$262.43	$348.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.28 / $384.23 / $477.17	Professional	50	$125.28	$384.23	$477.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,614.84 / $3,052.31 / $4,158.09	Facility		$2,614.84	$3,052.31	$4,158.09
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,418.66 / $2,138.36 / $2,598.81	Facility	50	$1,418.66	$2,138.36	$2,598.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $156.56 / $375.73	Professional		$42.58	$156.56	$375.73
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $401.85 / $524.91 / $617.54	Professional	50	$401.85	$524.91	$617.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $252.26 / $393.00	Professional		$169.65	$252.26	$393.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.21 / $2,877.00 / $4,933.00	Facility		$232.21	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $4,241.43 / $4,241.43 / $4,241.43	Facility	50	$4,241.43	$4,241.43	$4,241.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $327.85 / $478.91	Professional		$212.96	$327.85	$478.91
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $125.28 / $384.23 / $477.17	Professional	50	$125.28	$384.23	$477.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $272.95 / $390.71	Professional		$219.54	$272.95	$390.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.26 / $351.43 / $544.07	Professional		$282.26	$351.43	$544.07