Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.34 / $786.49 / $4,933.00	Facility		$191.34	$786.49	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $422.92 / $865.13	Professional		$149.81	$422.92	$865.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,493.57 / $3,422.84 / $8,233.86	Facility		$2,493.57	$3,422.84	$8,233.86
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,565.04 / $2,051.06 / $2,531.23	Facility	50	$1,565.04	$2,051.06	$2,531.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $218.37 / $340.66	Professional		$34.71	$218.37	$340.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $235.63	Facility		$235.63	$235.63	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $408.74 / $1,188.92	Professional		$148.86	$408.74	$1,188.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $191.34 / $786.49 / $4,933.00	Facility		$191.34	$786.49	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $668.08 / $964.44	Professional		$154.66	$668.08	$964.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $454.45 / $568.07 / $794.76	Professional		$454.45	$568.07	$794.76
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.04 / $769.17 / $1,067.95	Professional		$606.04	$769.17	$1,067.95