Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.61 / $533.98 / $4,933.00	Facility		$281.61	$533.98	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $281.61 / $423.80	Professional		$199.38	$281.61	$423.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.33 / $4,281.39 / $5,800.61	Facility		$3,673.33	$4,281.39	$5,800.61
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,979.05 / $3,271.76 / $3,932.96	Facility	50	$1,979.05	$3,271.76	$3,932.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $315.92 / $506.83	Professional		$57.72	$315.92	$506.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $487.34 / $487.34 / $487.34	Professional	50	$487.34	$487.34	$487.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $342.76 / $566.79	Professional		$215.87	$342.76	$566.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $321.81 / $1,983.17 / $4,933.00	Facility		$321.81	$1,983.17	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $321.81 / $439.82	Professional		$271.17	$321.81	$439.82
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $149.21 / $149.21 / $149.21	Professional	50	$149.21	$149.21	$149.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $238.33 / $376.64	Professional		$31.06	$238.33	$376.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,523.00 / $6,327.00	Facility		$1,050.00	$3,523.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.31 / $410.90 / $527.97	Professional		$332.31	$410.90	$527.97