Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $276.00 / $4,933.00	Facility		$72.34	$276.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $490.50 / $608.69 / $2,215.84	Facility	50	$490.50	$608.69	$2,215.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $108.49 / $187.82	Professional		$69.66	$108.49	$187.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.59 / $1,092.24 / $1,479.81	Facility		$930.59	$1,092.24	$1,479.81
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $588.16 / $739.91 / $1,003.35	Facility	50	$588.16	$739.91	$1,003.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $86.81 / $140.02	Professional		$13.80	$86.81	$140.02
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $110.69 / $130.22 / $262.04	Professional	50	$110.69	$130.22	$262.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $117.81 / $185.91	Professional		$50.85	$117.81	$185.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $1,460.55 / $4,933.00	Facility		$75.95	$1,460.55	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $490.50 / $608.69 / $2,215.84	Facility	50	$490.50	$608.69	$2,215.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $134.30 / $222.84	Professional		$80.95	$134.30	$222.84
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 $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 $118.48 / $149.24 / $211.51	Professional		$118.48	$149.24	$211.51