Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.76 / $464.00 / $4,933.00	Facility		$132.76	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $132.76 / $216.97	Professional		$84.00	$132.76	$216.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.51 / $106.23 / $143.93	Facility		$90.51	$106.23	$143.93
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $48.84 / $71.95 / $93.86	Facility	50	$48.84	$71.95	$93.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $170.96 / $263.75	Professional		$30.37	$170.96	$263.75
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $256.44 / $298.11 / $350.72	Professional	50	$256.44	$298.11	$350.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $124.42 / $246.97	Professional		$80.98	$124.42	$246.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $2,056.00 / $4,933.00	Facility		$99.05	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $135.47 / $228.38	Professional		$99.05	$135.47	$228.38
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 $110.45 / $126.50 / $171.09	Professional		$110.45	$126.50	$171.09