Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.52 / $3,808.23 / $6,085.44	Facility		$430.52	$3,808.23	$6,085.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $964.56 / $2,503.10 / $14,477.93	Facility	50	$964.56	$2,503.10	$14,477.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.60 / $390.61 / $547.24	Professional		$338.60	$390.61	$547.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $235.88 / $483.32 / $546.99	Professional	50	$235.88	$483.32	$546.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,869.49 / $6,851.46 / $9,333.58	Facility		$5,869.49	$6,851.46	$9,333.58
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,167.16 / $4,861.76 / $6,086.31	Facility	50	$3,167.16	$4,861.76	$6,086.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $334.42 / $829.82	Professional		$81.78	$334.42	$829.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $771.74 / $771.74 / $771.74	Professional	50	$771.74	$771.74	$771.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $442.08 / $660.95	Professional		$232.63	$442.08	$660.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $414.17 / $4,933.00 / $5,757.00	Facility		$414.17	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $964.56 / $3,246.45 / $11,339.76	Facility	50	$964.56	$3,246.45	$11,339.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $364.21 / $414.17 / $643.26	Professional		$364.21	$414.17	$643.26
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $235.88 / $483.32 / $546.99	Professional	50	$235.88	$483.32	$546.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $345.91 / $491.09	Professional		$273.98	$345.91	$491.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $8,514.00 / $15,078.00	Facility		$4,637.00	$8,514.00	$15,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.67 / $475.12 / $660.58	Professional		$379.67	$475.12	$660.58