Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.85 / $339.70 / $4,933.00	Facility		$158.85	$339.70	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.79 / $190.05 / $269.61	Professional		$118.79	$190.05	$269.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.77 / $325.48 / $443.39	Facility		$280.77	$325.48	$443.39
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $176.23 / $228.02 / $300.63	Facility	50	$176.23	$228.02	$300.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $215.94 / $342.46	Professional		$38.89	$215.94	$342.46
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $436.64 / $436.64 / $436.64	Professional	50	$436.64	$436.64	$436.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $187.16 / $325.81	Professional		$139.35	$187.16	$325.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $216.82 / $248.87 / $4,933.00	Facility		$216.82	$248.87	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.85 / $223.80 / $328.50	Professional		$158.85	$223.80	$328.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $187.72 / $275.41	Professional		$145.99	$187.72	$275.41
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $264.91 / $351.67	Professional		$217.26	$264.91	$351.67