Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.97 / $620.00 / $4,933.00	Facility		$176.97	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $206.11 / $357.70	Professional		$136.10	$206.11	$357.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.33 / $985.26 / $1,334.87	Facility		$845.33	$985.26	$1,334.87
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $530.55 / $618.05 / $905.07	Facility	50	$530.55	$618.05	$905.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $136.22 / $341.48	Professional		$33.04	$136.22	$341.48
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $328.35 / $328.35 / $328.35	Professional	50	$328.35	$328.35	$328.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $244.54 / $505.59	Professional		$114.83	$244.54	$505.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $262.87 / $2,877.00 / $4,933.00	Facility		$262.87	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $262.87 / $413.68	Professional		$176.97	$262.87	$413.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $216.72 / $316.32	Professional		$32.13	$216.72	$316.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,740.00	Facility		$1,050.00	$3,569.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $313.91 / $441.53	Professional		$269.20	$313.91	$441.53