Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.55 / $2,410.66 / $4,933.00	Facility		$210.55	$2,410.66	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,385.19 / $1,669.24 / $2,552.61	Facility	50	$1,385.19	$1,669.24	$2,552.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $188.06 / $248.71	Professional		$137.16	$188.06	$248.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.67 / $115.91 / $147.33	Professional	50	$38.67	$115.91	$147.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,391.94 / $2,792.13 / $3,803.65	Facility		$2,391.94	$2,792.13	$3,803.65
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,297.73 / $1,956.08 / $2,578.98	Facility	50	$1,297.73	$1,956.08	$2,578.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $171.45 / $357.81	Professional		$42.17	$171.45	$357.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $382.68 / $382.68 / $382.68	Professional	50	$382.68	$382.68	$382.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $200.41 / $322.17	Professional		$113.67	$200.41	$322.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $2,877.00 / $4,933.00	Facility		$166.29	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,385.19 / $2,552.61 / $2,552.61	Facility	50	$1,385.19	$2,552.61	$2,552.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $196.12 / $279.20	Professional		$157.00	$196.12	$279.20
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $38.67 / $115.91 / $147.33	Professional	50	$38.67	$115.91	$147.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $171.18 / $245.14	Professional		$137.30	$171.18	$245.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.00 / $5,819.00 / $8,339.00	Facility		$3,050.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $199.05 / $270.37	Professional		$173.09	$199.05	$270.37