Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.38 / $3,848.00 / $16,098.93	Facility		$381.38	$3,848.00	$16,098.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,485.94 / $1,485.94 / $1,485.94	Facility	50	$1,485.94	$1,485.94	$1,485.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $190.69 / $190.69 / $190.69	Facility	52	$190.69	$190.69	$190.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $76.28 / $76.28 / $76.28	Facility	53	$76.28	$76.28	$76.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $371.77 / $575.64	Professional		$301.58	$371.77	$575.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,718.24 / $4,340.30 / $5,912.68	Facility		$3,718.24	$4,340.30	$5,912.68
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,006.35 / $2,956.34 / $4,008.96	Facility	50	$2,006.35	$2,956.34	$4,008.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $465.60 / $839.43	Professional		$76.11	$465.60	$839.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.93 / $348.79 / $613.75	Professional		$277.93	$348.79	$613.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $381.38 / $3,916.00 / $12,925.95	Facility		$381.38	$3,916.00	$12,925.95
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,485.94 / $1,485.94 / $1,485.94	Facility	50	$1,485.94	$1,485.94	$1,485.94
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $190.69 / $190.69 / $190.69	Facility	52	$190.69	$190.69	$190.69
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $76.28 / $76.28 / $76.28	Facility	53	$76.28	$76.28	$76.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $307.36 / $381.37 / $605.00	Professional		$307.36	$381.37	$605.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $345.91 / $491.09	Professional		$273.98	$345.91	$491.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.77 / $409.55 / $527.44	Professional		$345.77	$409.55	$527.44