Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.45 / $626.25 / $4,933.00	Facility		$184.45	$626.25	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $318.26 / $497.03	Professional		$139.37	$318.26	$497.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $37.33 / $219.61	Facility		$37.33	$37.33	$219.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $230.59 / $274.51	Professional		$37.33	$230.59	$274.51
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.88 / $234.88 / $610.36	Professional	50	$234.88	$234.88	$610.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $280.35 / $638.95	Professional		$130.04	$280.35	$638.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $241.34 / $2,056.00 / $4,933.00	Facility		$241.34	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $403.75 / $533.54	Professional		$184.45	$403.75	$533.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $317.06 / $484.01	Professional		$32.13	$317.06	$484.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.70 / $497.98 / $643.10	Professional		$397.70	$497.98	$643.10