Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $1,530.86 / $4,933.00	Facility		$125.70	$1,530.86	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,550.80 / $4,281.26 / $9,907.45	Facility	50	$2,550.80	$4,281.26	$9,907.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $338.58 / $738.53	Professional		$100.99	$338.58	$738.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,584.59 / $5,068.83 / $8,205.06	Facility		$2,584.59	$5,068.83	$8,205.06
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,972.43 / $2,709.05 / $5,776.73	Facility	50	$1,972.43	$2,709.05	$5,776.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $208.62 / $296.45	Professional		$30.45	$208.62	$296.45
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.64 / $234.87 / $234.87	Professional	50	$199.64	$234.87	$234.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $306.50 / $833.04	Professional		$101.42	$306.50	$833.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $1,872.23 / $4,933.00	Facility		$158.38	$1,872.23	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,550.80 / $4,281.26 / $9,907.45	Facility	50	$2,550.80	$4,281.26	$9,907.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $451.84 / $935.56	Professional		$125.70	$451.84	$935.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $461.79 / $576.14 / $831.23	Professional		$461.79	$576.14	$831.23
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.77 / $667.48 / $925.63	Professional		$532.77	$667.48	$925.63