Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $218.39 / $2,056.00	Facility		$81.23	$218.39	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $112.20 / $192.21	Professional		$59.48	$112.20	$192.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $625.00 / $625.00 / $625.00	Professional	50	$625.00	$625.00	$625.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.98 / $609.13 / $825.27	Facility		$518.98	$609.13	$825.27
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $328.01 / $424.41 / $559.55	Facility	50	$328.01	$424.41	$559.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $98.00 / $203.84	Professional		$17.41	$98.00	$203.84
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $196.00 / $196.00 / $427.14	Professional	50	$196.00	$196.00	$427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $110.58 / $218.91	Professional		$54.16	$110.58	$218.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $1,327.48 / $4,933.00	Facility		$81.23	$1,327.48	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $127.75 / $223.36	Professional		$73.06	$127.75	$223.36
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $625.00 / $625.00 / $625.00	Professional	50	$625.00	$625.00	$625.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $135.73 / $192.57	Professional		$108.71	$135.73	$192.57
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $152.68 / $204.41	Professional		$93.73	$152.68	$204.41