Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.79 / $4,112.00 / $4,933.00	Facility		$177.79	$4,112.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,380.50 / $2,380.50 / $4,965.99	Facility	50	$2,380.50	$2,380.50	$4,965.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $157.49 / $202.22	Professional		$127.76	$157.49	$202.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,886.06 / $2,201.60 / $2,999.19	Facility		$1,886.06	$2,201.60	$2,999.19
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,192.05 / $1,542.38 / $2,033.53	Facility	50	$1,192.05	$1,542.38	$2,033.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $228.57 / $381.36	Professional		$45.71	$228.57	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $193.64 / $234.01	Professional		$140.13	$193.64	$234.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $153.71 / $4,112.00 / $4,933.00	Facility		$153.71	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,380.50 / $2,380.50 / $4,965.99	Facility	50	$2,380.50	$2,380.50	$4,965.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $148.01 / $169.27 / $254.62	Professional		$148.01	$169.27	$254.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $138.69 / $205.58	Professional		$93.27	$138.69	$205.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,796.00 / $4,941.00 / $8,583.29	Facility		$1,796.00	$4,941.00	$8,583.29
United Facility/Professional Professional Modifier Low / Median / High Price $159.54 / $182.33 / $274.17	Professional		$159.54	$182.33	$274.17