Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $43.17 / $4,933.00	Facility		$32.34	$43.17	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $979.00 / $979.00 / $979.00	Facility	50	$979.00	$979.00	$979.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $79.81 / $229.09	Professional		$30.70	$79.81	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,131.54 / $1,328.10 / $1,799.36	Facility		$1,131.54	$1,328.10	$1,799.36
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $651.66 / $1,014.90 / $1,220.01	Facility	50	$651.66	$1,014.90	$1,220.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $36.35 / $80.87	Professional		$6.18	$36.35	$80.87
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.76 / $77.76 / $106.52	Professional	50	$77.76	$77.76	$106.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $93.94 / $256.26	Professional		$23.05	$93.94	$256.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $175.86 / $4,933.00	Facility		$32.34	$175.86	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $979.00 / $979.00 / $979.00	Facility	50	$979.00	$979.00	$979.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $83.46 / $232.04	Professional		$31.15	$83.46	$232.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.43 / $49.83	Professional		$27.68	$34.43	$49.83
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 $36.34 / $182.89 / $314.45	Professional		$36.34	$182.89	$314.45