Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.02 / $2,877.00 / $4,933.00	Facility		$592.02	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.48 / $464.27 / $614.79	Professional		$367.48	$464.27	$614.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.15 / $2,843.72 / $3,873.92	Facility		$2,436.15	$2,843.72	$3,873.92
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,402.99 / $1,936.96 / $2,626.63	Facility	50	$1,402.99	$1,936.96	$2,626.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $457.85 / $1,203.49	Professional		$118.60	$457.85	$1,203.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.11 / $507.82 / $967.21	Professional		$334.11	$507.82	$967.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $435.93 / $2,877.00 / $4,933.00	Facility		$435.93	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $427.37 / $478.89 / $761.26	Professional		$427.37	$478.89	$761.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $340.03 / $560.15	Professional		$33.96	$340.03	$560.15
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 $410.39 / $537.67 / $733.34	Professional		$410.39	$537.67	$733.34