Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.01 / $932.48 / $4,933.00	Facility		$613.01	$932.48	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,492.00 / $3,492.00 / $3,492.00	Facility	50	$3,492.00	$3,492.00	$3,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.08 / $628.66 / $1,035.59	Professional		$431.08	$628.66	$1,035.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,533.53 / $4,124.70 / $5,618.97	Facility		$3,533.53	$4,124.70	$5,618.97
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,906.68 / $2,931.25 / $3,809.81	Facility	50	$1,906.68	$2,931.25	$3,809.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $519.63 / $1,513.63	Professional		$149.50	$519.63	$1,513.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.28 / $678.27 / $1,123.51	Professional		$411.28	$678.27	$1,123.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $613.01 / $949.26 / $4,933.00	Facility		$613.01	$949.26	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $3,492.00 / $3,492.00 / $3,492.00	Facility	50	$3,492.00	$3,492.00	$3,492.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $580.29 / $707.05 / $1,283.07	Professional		$580.29	$707.05	$1,283.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $559.56 / $880.82	Professional		$34.06	$559.56	$880.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,202.00 / $7,355.00	Facility		$2,248.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $721.81 / $862.03 / $1,224.24	Professional		$721.81	$862.03	$1,224.24