Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $679.12 / $4,933.00	Facility		$100.40	$679.12	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $122.70 / $196.77	Professional		$64.40	$122.70	$196.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.26 / $993.26 / $1,345.71	Facility		$846.26	$993.26	$1,345.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $121.97 / $184.76	Professional		$21.66	$121.97	$184.76
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $182.96 / $345.12 / $345.12	Professional	50	$182.96	$345.12	$345.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $123.95 / $241.64	Professional		$67.66	$123.95	$241.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $639.94 / $4,933.00	Facility		$102.20	$639.94	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.68 / $137.38 / $236.77	Professional		$96.68	$137.38	$236.77
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 $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 $128.30 / $159.05 / $205.24	Professional		$128.30	$159.05	$205.24