Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,884.03 / $5,754.40	Facility		$239.88	$2,884.03	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $457.09 / $831.76	Professional		$177.83	$457.09	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Professional	50	$2,884.03	$2,884.03	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $269.15	Facility		$45.71	$53.70	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $269.15 / $281.84	Professional		$53.70	$269.15	$281.84
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $812.83 / $812.83 / $812.83	Professional	50	$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $478.63 / $812.83	Professional		$181.97	$478.63	$812.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,884.03 / $5,754.40	Facility		$512.86	$2,884.03	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $524.81 / $831.76	Professional		$190.55	$524.81	$831.76
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $2,818.38 / $2,884.03 / $3,311.31	Professional	50	$2,818.38	$2,884.03	$3,311.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $478.63 / $812.83	Professional		$208.93	$478.63	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $9,772.37	Facility		$2,511.89	$5,011.87	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $457.09 / $758.58	Professional		$204.17	$457.09	$758.58