Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.01 / $3,954.52 / $4,933.00	Facility		$387.01	$3,954.52	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,790.91 / $4,284.14 / $6,432.06	Facility	50	$2,790.91	$4,284.14	$6,432.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.19 / $369.63 / $603.90	Professional		$262.19	$369.63	$603.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $689.04 / $1,127.68 / $1,127.68	Professional	50	$689.04	$1,127.68	$1,127.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.25 / $419.18 / $597.21	Facility		$359.25	$419.18	$597.21
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $224.53 / $290.52 / $367.82	Facility	50	$224.53	$290.52	$367.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $453.34 / $712.38	Professional		$73.40	$453.34	$712.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $692.64 / $692.64 / $692.64	Professional	50	$692.64	$692.64	$692.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $389.85 / $587.16	Professional		$267.45	$389.85	$587.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $396.44 / $3,954.52 / $4,933.00	Facility		$396.44	$3,954.52	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,879.56 / $4,284.14 / $6,432.06	Facility	50	$2,879.56	$4,284.14	$6,432.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $333.57 / $421.58 / $603.90	Professional		$333.57	$421.58	$603.90
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $689.04 / $689.04 / $1,127.68	Professional	50	$689.04	$689.04	$1,127.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $319.89 / $481.78	Professional		$30.93	$319.89	$481.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.17 / $473.45 / $633.59	Professional		$403.17	$473.45	$633.59