Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.14 / $832.76 / $4,933.00	Facility		$587.14	$832.76	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $584.85 / $832.76	Professional		$416.93	$584.85	$832.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $210.69 / $210.69	Professional	50	$210.69	$210.69	$210.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,065.78 / $2,407.73 / $3,262.10	Facility		$2,065.78	$2,407.73	$3,262.10
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,112.96 / $1,677.59 / $2,127.17	Facility	50	$1,112.96	$1,677.59	$2,127.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $642.91 / $1,015.13	Professional		$120.80	$642.91	$1,015.13
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,085.70 / $1,085.70 / $1,471.58	Professional	50	$1,085.70	$1,085.70	$1,471.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $537.73 / $821.80	Professional		$400.84	$537.73	$821.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $595.09 / $847.74 / $5,181.78	Facility		$595.09	$847.74	$5,181.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $487.56 / $608.88 / $837.00	Professional		$487.56	$608.88	$837.00
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $210.69 / $210.69	Professional	50	$210.69	$210.69	$210.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $399.22 / $689.73	Professional		$67.99	$399.22	$689.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.30 / $690.68 / $957.66	Professional		$603.30	$690.68	$957.66