Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $57.45 / $4,933.00	Facility		$43.97	$57.45	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $39.78 / $55.54	Professional		$30.03	$39.78	$55.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $227.70 / $227.70 / $227.70	Professional	50	$227.70	$227.70	$227.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.27 / $372.13 / $504.18	Facility		$319.27	$372.13	$504.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $35.32 / $89.00	Professional		$8.64	$35.32	$89.00
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.50 / $81.50 / $99.06	Professional	50	$81.50	$81.50	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $38.76 / $76.06	Professional		$27.52	$38.76	$76.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $69.98 / $4,933.00	Facility		$42.59	$69.98	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $43.97 / $66.80	Professional		$33.46	$43.97	$66.80
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $227.70 / $227.70 / $227.70	Professional	50	$227.70	$227.70	$227.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $33.64 / $46.17	Professional		$27.10	$33.64	$46.17
United Facility/Professional Facility Modifier Low / Median / High Price $312.77 / $1,247.00 / $2,029.00	Facility		$312.77	$1,247.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $49.35 / $66.20	Professional		$41.46	$49.35	$66.20