Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.30 / $2,877.00 / $5,690.22	Facility		$239.30	$2,877.00	$5,690.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $421.70 / $678.99	Professional		$165.77	$421.70	$678.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,618.61 / $4,224.01 / $5,754.26	Facility		$3,618.61	$4,224.01	$5,754.26
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,440.73 / $2,959.22 / $3,752.28	Facility	50	$2,440.73	$2,959.22	$3,752.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $62.05 / $310.95	Professional		$45.96	$62.05	$310.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.60 / $366.18 / $776.57	Professional		$182.60	$366.18	$776.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.30 / $2,877.00 / $4,933.00	Facility		$239.30	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $239.30 / $482.27 / $819.39	Professional		$239.30	$482.27	$819.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $408.04 / $510.23 / $730.40	Professional		$408.04	$510.23	$730.40
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 $545.48 / $639.22 / $1,007.05	Professional		$545.48	$639.22	$1,007.05