Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $159.19 / $4,933.00	Facility		$60.49	$159.19	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $80.84 / $138.24	Professional		$52.35	$80.84	$138.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.37 / $118.37 / $207.36	Professional	50	$118.37	$118.37	$207.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.08 / $158.84 / $216.39	Facility		$136.08	$158.84	$216.39
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $73.43 / $108.19 / $146.72	Facility	50	$73.43	$108.19	$146.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $73.81 / $116.54	Professional		$13.74	$73.81	$116.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $161.62 / $161.62 / $190.14	Professional	50	$161.62	$161.62	$190.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $80.01 / $142.71	Professional		$52.15	$80.01	$142.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $155.63 / $4,933.00	Facility		$0.63	$155.63	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $103.45 / $162.21	Professional		$60.49	$103.45	$162.21
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $118.37 / $207.36 / $207.36	Professional	50	$118.37	$207.36	$207.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $143.66 / $206.12	Professional		$89.32	$143.66	$206.12