Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $962.00 / $4,933.00	Facility		$84.17	$962.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $114.75 / $205.87	Professional		$60.95	$114.75	$205.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.45 / $812.73 / $1,101.11	Facility		$692.45	$812.73	$1,101.11
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $437.65 / $550.55 / $707.83	Facility	50	$437.65	$550.55	$707.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $91.30 / $154.26	Professional		$17.14	$91.30	$154.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.19 / $154.19 / $382.68	Professional	50	$154.19	$154.19	$382.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $117.18 / $233.22	Professional		$56.75	$117.18	$233.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $979.00 / $4,933.00	Facility		$130.72	$979.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $144.16 / $255.58	Professional		$81.06	$144.16	$255.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $135.73 / $192.57	Professional		$108.71	$135.73	$192.57
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.24 / $158.47 / $224.15	Professional		$129.24	$158.47	$224.15