Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.88 / $4,112.00 / $4,933.00	Facility		$183.88	$4,112.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $936.23 / $936.23 / $936.23	Facility	50	$936.23	$936.23	$936.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $1,411.52 / $3,799.61	Professional		$150.65	$1,411.52	$3,799.61
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 $1,572.76 / $2,383.56 / $2,896.81	Facility	50	$1,572.76	$2,383.56	$2,896.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $204.36 / $371.09	Professional		$40.88	$204.36	$371.09
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $345.12 / $345.12 / $345.12	Professional	50	$345.12	$345.12	$345.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $495.05 / $4,861.68	Professional		$145.80	$495.05	$4,861.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,033.59 / $4,112.00 / $4,933.00	Facility		$2,033.59	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $936.23 / $936.23 / $1,730.84	Facility	50	$936.23	$936.23	$1,730.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.88 / $2,080.41 / $3,895.15	Professional		$183.88	$2,080.41	$3,895.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,246.17 / $1,559.97 / $2,246.35	Professional		$1,246.17	$1,559.97	$2,246.35
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 $2,108.79 / $3,067.33 / $5,415.67	Professional		$2,108.79	$3,067.33	$5,415.67