Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.04 / $464.00 / $4,933.00	Facility		$139.04	$464.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,385.64 / $1,385.64 / $1,385.64	Facility	50	$1,385.64	$1,385.64	$1,385.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $160.31 / $216.88	Professional		$105.06	$160.31	$216.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.74 / $273.74 / $273.74	Professional	50	$273.74	$273.74	$273.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.59 / $1,092.24 / $1,479.81	Facility		$930.59	$1,092.24	$1,479.81
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $504.88 / $856.47 / $1,003.35	Facility	50	$504.88	$856.47	$1,003.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $180.58 / $280.05	Professional		$27.60	$180.58	$280.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $260.45 / $260.45 / $386.67	Professional	50	$260.45	$260.45	$386.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $167.11 / $301.32	Professional		$102.41	$167.11	$301.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.93 / $2,056.00 / $4,933.00	Facility		$181.93	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,385.64 / $1,385.64 / $1,385.64	Facility	50	$1,385.64	$1,385.64	$1,385.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.04 / $187.89 / $269.08	Professional		$139.04	$187.89	$269.08
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $273.74 / $273.74 / $273.74	Professional	50	$273.74	$273.74	$273.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $154.53 / $226.49	Professional		$119.46	$154.53	$226.49
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 $172.80 / $222.71 / $289.72	Professional		$172.80	$222.71	$289.72