Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.66 / $3,395.66 / $4,933.00	Facility		$229.66	$3,395.66	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,443.33 / $4,087.78 / $14,944.58	Facility	50	$1,443.33	$4,087.78	$14,944.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $1,447.41 / $3,831.30	Professional		$189.24	$1,447.41	$3,831.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,914.68 / $3,402.31 / $4,634.89	Facility		$2,914.68	$3,402.31	$4,634.89
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,581.33 / $2,383.56 / $3,022.35	Facility	50	$1,581.33	$2,383.56	$3,022.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $269.41 / $484.94	Professional		$47.63	$269.41	$484.94
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $432.21 / $432.21 / $432.21	Professional	50	$432.21	$432.21	$432.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $1,159.42 / $4,908.24	Professional		$182.11	$1,159.42	$4,908.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $242.78 / $3,395.66 / $4,933.00	Facility		$242.78	$3,395.66	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,443.33 / $3,986.14 / $14,944.58	Facility	50	$1,443.33	$3,986.14	$14,944.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.65 / $2,117.42 / $3,831.30	Professional		$229.65	$2,117.42	$3,831.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,275.55 / $1,594.44 / $2,295.99	Professional		$1,275.55	$1,594.44	$2,295.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,154.44 / $2,742.01 / $5,469.91	Professional		$2,154.44	$2,742.01	$5,469.91