Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $464.00 / $4,933.00	Facility		$90.52	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $193.74 / $360.15	Professional		$100.90	$193.74	$360.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.11 / $290.29 / $393.30	Facility		$250.11	$290.29	$393.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $162.27 / $345.88	Professional		$29.04	$162.27	$345.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $274.02 / $274.02 / $614.36	Professional	50	$274.02	$274.02	$614.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $195.81 / $453.45	Professional		$93.43	$195.81	$453.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $474.19 / $4,933.00	Facility		$151.82	$474.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $235.95 / $398.51	Professional		$151.82	$235.95	$398.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $192.92 / $281.66	Professional		$30.79	$192.92	$281.66
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.32 / $295.20 / $381.17	Professional		$243.32	$295.20	$381.17