Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.47 / $4,112.00 / $8,554.79	Facility		$607.47	$4,112.00	$8,554.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.87 / $1,225.66 / $3,631.98	Professional		$438.87	$1,225.66	$3,631.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,224.53 / $17,744.72 / $24,041.28	Facility		$15,224.53	$17,744.72	$24,041.28
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,157.91 / $13,560.21 / $16,300.62	Facility	50	$8,157.91	$13,560.21	$16,300.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $420.91 / $713.43	Professional		$114.49	$420.91	$713.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.39 / $877.53 / $4,560.31	Professional		$417.39	$877.53	$4,560.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $765.41 / $4,112.00 / $5,756.00	Facility		$765.41	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $585.76 / $2,746.02 / $4,331.01	Professional		$585.76	$2,746.02	$4,331.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,146.08 / $2,640.76 / $3,873.84	Professional		$2,146.08	$2,640.76	$3,873.84
United Facility/Professional Facility Modifier Low / Median / High Price $6,850.00 / $11,464.00 / $15,011.00	Facility		$6,850.00	$11,464.00	$15,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,177.69 / $4,109.53 / $6,125.03	Professional		$3,177.69	$4,109.53	$6,125.03