Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.15 / $2,573.23 / $4,933.00	Facility		$197.15	$2,573.23	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,146.47 / $5,146.47 / $6,923.12	Facility	50	$5,146.47	$5,146.47	$6,923.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $226.93 / $373.87	Professional		$137.06	$226.93	$373.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $735.13 / $735.13 / $735.13	Professional	50	$735.13	$735.13	$735.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.21 / $1,409.17 / $1,919.68	Facility		$1,207.21	$1,409.17	$1,919.68
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $654.96 / $888.84 / $1,301.58	Facility	50	$654.96	$888.84	$1,301.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $211.47 / $247.59	Professional		$37.84	$211.47	$247.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $251.62 / $434.05	Professional		$150.81	$251.62	$434.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $258.99 / $2,877.00 / $4,933.00	Facility		$258.99	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,146.47 / $6,294.14 / $6,923.12	Facility	50	$5,146.47	$6,294.14	$6,923.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $258.99 / $395.68	Professional		$189.86	$258.99	$395.68
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $735.13 / $735.13 / $735.13	Professional	50	$735.13	$735.13	$735.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $272.90 / $390.38	Professional		$217.81	$272.90	$390.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,257.06 / $3,569.00 / $6,036.00	Facility		$1,257.06	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $338.66 / $518.96	Professional		$293.27	$338.66	$518.96