Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.46 / $740.04 / $5,386.84	Professional		$406.46	$740.04	$5,386.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,825.57 / $13,783.11 / $18,673.93	Facility		$11,825.57	$13,783.11	$18,673.93
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,371.17 / $9,603.37 / $12,661.42	Facility	50	$6,371.17	$9,603.37	$12,661.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $292.37 / $640.13	Professional		$54.41	$292.37	$640.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.11 / $420.11 / $2,700.49	Professional		$420.11	$420.11	$2,700.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $291.18 / $2,056.00 / $4,933.00	Facility		$291.18	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $286.50 / $1,685.02 / $3,327.42	Professional		$286.50	$1,685.02	$3,327.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $985.51 / $1,227.36 / $1,786.31	Professional		$985.51	$1,227.36	$1,786.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,670.62 / $3,140.78 / $4,168.50	Professional		$1,670.62	$3,140.78	$4,168.50