Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $161.16 / $4,933.00	Facility		$72.48	$161.16	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,931.68 / $1,945.71 / $2,698.49	Facility	50	$1,931.68	$1,945.71	$2,698.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $96.70 / $160.77	Professional		$69.81	$96.70	$160.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.49 / $137.91 / $691.02	Professional	50	$85.49	$137.91	$691.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,136.96 / $1,334.45 / $1,807.97	Facility		$1,136.96	$1,334.45	$1,807.97
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $616.84 / $903.99 / $1,225.85	Facility	50	$616.84	$903.99	$1,225.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $78.06 / $133.11	Professional		$13.97	$78.06	$133.11
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.05 / $131.82 / $234.08	Professional	50	$112.05	$131.82	$234.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $106.68 / $194.45	Professional		$51.69	$106.68	$194.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.11 / $1,924.00 / $4,933.00	Facility		$76.11	$1,924.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,931.68 / $2,228.26 / $2,698.49	Facility	50	$1,931.68	$2,228.26	$2,698.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $130.06 / $177.67	Professional		$72.87	$130.06	$177.67
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $85.49 / $137.91 / $691.02	Professional	50	$85.49	$137.91	$691.02
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 $97.39 / $161.12 / $219.93	Professional		$97.39	$161.12	$219.93