Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.16 / $572.79 / $4,933.00	Facility		$323.16	$572.79	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,236.68 / $6,696.46 / $14,477.93	Facility	50	$1,236.68	$6,696.46	$14,477.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $323.16 / $572.79	Professional		$233.08	$323.16	$572.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.52 / $124.76 / $374.28	Professional	50	$88.52	$124.76	$374.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,835.56 / $6,811.86 / $9,279.62	Facility		$5,835.56	$6,811.86	$9,279.62
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,166.03 / $4,772.20 / $6,051.13	Facility	50	$3,166.03	$4,772.20	$6,051.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $362.53 / $570.99	Professional		$64.09	$362.53	$570.99
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $581.60 / $581.60 / $581.60	Professional	50	$581.60	$581.60	$581.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.13 / $357.85 / $660.82	Professional		$239.13	$357.85	$660.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $282.77 / $583.11 / $4,933.00	Facility		$282.77	$583.11	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,236.68 / $2,410.66 / $14,477.93	Facility	50	$1,236.68	$2,410.66	$14,477.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $282.77 / $354.65 / $686.41	Professional		$282.77	$354.65	$686.41
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $88.52 / $124.76 / $374.28	Professional	50	$88.52	$124.76	$374.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.21 / $444.55 / $642.72	Professional		$354.21	$444.55	$642.72
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 $311.01 / $369.57 / $598.77	Professional		$311.01	$369.57	$598.77