Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $1,083.59 / $4,933.00	Facility		$103.70	$1,083.59	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $177.66 / $291.48	Professional		$73.15	$177.66	$291.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $311.97 / $311.97 / $311.97	Professional	50	$311.97	$311.97	$311.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.17 / $812.41 / $1,100.68	Facility		$692.17	$812.41	$1,100.68
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $437.48 / $573.33 / $707.55	Facility	50	$437.48	$573.33	$707.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $128.63 / $153.13	Professional		$116.38	$128.63	$153.13
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.02 / $131.02 / $357.91	Professional	50	$131.02	$131.02	$357.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $164.36 / $331.29	Professional		$72.47	$164.36	$331.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $209.64 / $2,056.00 / $4,933.00	Facility		$209.64	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $209.64 / $293.76	Professional		$103.70	$209.64	$293.76
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $311.97 / $311.97 / $311.97	Professional	50	$311.97	$311.97	$311.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $236.99 / $335.79	Professional		$190.70	$236.99	$335.79
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 $216.18 / $259.42 / $342.27	Professional		$216.18	$259.42	$342.27