Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $740.61 / $4,933.00	Facility		$140.37	$740.61	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $166.65 / $238.76	Professional		$103.71	$166.65	$238.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $246.76 / $286.20 / $308.61	Professional	50	$246.76	$286.20	$308.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.16 / $190.45 / $259.45	Facility		$163.16	$190.45	$259.45
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $93.96 / $120.13 / $175.91	Facility	50	$93.96	$120.13	$175.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $182.76 / $328.96	Professional		$31.07	$182.76	$328.96
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $387.74 / $387.74 / $456.17	Professional	50	$387.74	$387.74	$456.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $174.53 / $289.02	Professional		$93.11	$174.53	$289.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $740.61 / $4,933.00	Facility		$195.00	$740.61	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $195.00 / $297.73	Professional		$131.91	$195.00	$297.73
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $246.76 / $286.20 / $308.61	Professional	50	$246.76	$286.20	$308.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $154.24 / $228.52	Professional		$117.74	$154.24	$228.52
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 $191.16 / $229.97 / $311.32	Professional		$191.16	$229.97	$311.32