Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $281.83 / $4,933.00	Facility		$59.73	$281.83	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $683.74 / $683.74 / $683.74	Facility	50	$683.74	$683.74	$683.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $84.47 / $135.93	Professional		$49.86	$84.47	$135.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $292.05 / $292.05	Professional	50	$126.14	$292.05	$292.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $197.53 / $267.63	Facility		$168.30	$197.53	$267.63
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $106.37 / $133.81 / $181.46	Facility	50	$106.37	$133.81	$181.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $67.72 / $116.83	Professional		$11.51	$67.72	$116.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $108.65 / $194.13 / $194.13	Professional	50	$108.65	$194.13	$194.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $101.20 / $167.39	Professional		$42.82	$101.20	$167.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $281.83 / $4,933.00	Facility		$107.10	$281.83	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $683.74 / $683.74 / $683.74	Facility	50	$683.74	$683.74	$683.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.73 / $107.10 / $166.72	Professional		$59.73	$107.10	$166.72
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $292.05 / $292.05	Professional	50	$126.14	$292.05	$292.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $129.15 / $175.55	Professional		$78.20	$129.15	$175.55