Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,905.46 / $4,897.79	Facility		$75.86	$1,905.46	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $1,949.84 / $2,238.72	Facility	50	$912.01	$1,949.84	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $269.15	Professional		$52.48	$107.15	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $245.47 / $794.33	Professional	50	$85.11	$245.47	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $81.28 / $154.88	Professional		$16.60	$81.28	$154.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $234.42 / $234.42	Professional	50	$112.20	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $194.98	Professional		$54.95	$107.15	$194.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,905.46 / $4,897.79	Facility		$75.86	$1,905.46	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $1,949.84 / $2,041.74	Facility	50	$912.01	$1,949.84	$2,041.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $229.09	Professional		$69.18	$128.82	$229.09
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $162.18 / $512.86	Professional	50	$85.11	$162.18	$512.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $169.82	Professional		$48.98	$91.20	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,778.28 / $4,073.80	Facility		$691.83	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $177.83	Professional		$61.66	$104.71	$177.83