Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.43 / $464.00 / $2,056.00	Facility		$171.43	$464.00	$2,056.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $485.24 / $485.24 / $1,248.51	Facility	50	$485.24	$485.24	$1,248.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $237.65 / $358.55	Professional		$114.56	$237.65	$358.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.54 / $556.23 / $1,332.00	Professional	50	$252.54	$556.23	$1,332.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,188.36 / $1,604.68 / $3,768.38	Facility		$1,188.36	$1,604.68	$3,768.38
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $745.86 / $965.06 / $1,272.36	Facility	50	$745.86	$965.06	$1,272.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $204.97 / $366.01	Professional		$36.90	$204.97	$366.01
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $313.17 / $313.17 / $632.73	Professional	50	$313.17	$313.17	$632.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $218.31 / $416.61	Professional		$115.51	$218.31	$416.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $171.43 / $1,761.44 / $2,878.00	Facility		$171.43	$1,761.44	$2,878.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $485.24 / $485.24 / $1,248.51	Facility	50	$485.24	$485.24	$1,248.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $258.83 / $430.26	Professional		$154.66	$258.83	$430.26
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $252.54 / $391.38 / $1,332.00	Professional	50	$252.54	$391.38	$1,332.00
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 $243.79 / $305.85 / $409.06	Professional		$243.79	$305.85	$409.06