Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.26 / $3,676.71 / $9,952.19	Facility		$518.26	$3,676.71	$9,952.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $507.00 / $777.50	Professional		$387.00	$507.00	$777.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,229.56 / $6,104.47 / $8,315.95	Facility		$5,229.56	$6,104.47	$8,315.95
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,837.24 / $4,690.52 / $5,638.44	Facility	50	$2,837.24	$4,690.52	$5,638.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $629.95 / $1,051.03	Professional		$125.99	$629.95	$1,051.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.62 / $646.17 / $977.93	Professional		$426.62	$646.17	$977.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $533.16 / $4,892.63 / $9,952.19	Facility		$533.16	$4,892.63	$9,952.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $474.79 / $590.94 / $912.19	Professional		$474.79	$590.94	$912.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $436.60 / $665.79	Professional		$65.66	$436.60	$665.79
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 $542.21 / $653.94 / $961.85	Professional		$542.21	$653.94	$961.85