Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.95 / $4,112.00 / $14,278.54	Facility		$386.95	$4,112.00	$14,278.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,926.96 / $7,926.96 / $7,926.96	Facility	50	$7,926.96	$7,926.96	$7,926.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $712.43 / $1,109.66	Professional		$355.43	$712.43	$1,109.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $979.01 / $1,068.65 / $1,762.21	Professional	50	$979.01	$1,068.65	$1,762.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,408.79 / $12,216.87 / $16,551.91	Facility		$10,408.79	$12,216.87	$16,551.91
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,616.55 / $9,335.91 / $11,222.63	Facility	50	$5,616.55	$9,335.91	$11,222.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $452.66 / $916.65	Professional		$76.95	$452.66	$916.65
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $726.20 / $835.13 / $1,710.45	Professional	50	$726.20	$835.13	$1,710.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.16 / $600.87 / $1,318.32	Professional		$269.16	$600.87	$1,318.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $386.95 / $4,871.89 / $9,842.58	Facility		$386.95	$4,871.89	$9,842.58
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $7,926.96 / $7,926.96 / $7,926.96	Facility	50	$7,926.96	$7,926.96	$7,926.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $386.95 / $876.42 / $1,165.97	Professional		$386.95	$876.42	$1,165.97
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $979.01 / $1,068.65 / $1,762.21	Professional	50	$979.01	$1,068.65	$1,762.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $605.36 / $910.27	Professional		$97.84	$605.36	$910.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $11,152.00 / $31,629.00	Facility		$4,635.00	$11,152.00	$31,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.87 / $1,025.26 / $1,679.05	Professional		$782.87	$1,025.26	$1,679.05