Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $535.89 / $4,933.00	Facility		$67.72	$535.89	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $146.94 / $510.38	Professional		$53.27	$146.94	$510.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.77 / $1,093.49 / $1,489.64	Facility		$936.77	$1,093.49	$1,489.64
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $508.23 / $744.82 / $1,010.01	Facility	50	$508.23	$744.82	$1,010.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $84.15 / $131.28	Professional		$14.95	$84.15	$131.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $163.06 / $576.38	Professional		$54.51	$163.06	$576.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $643.07 / $4,933.00	Facility		$68.93	$643.07	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $307.55 / $643.07	Professional		$65.11	$307.55	$643.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.78 / $407.22 / $586.40	Professional		$325.78	$407.22	$586.40
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $2,580.00 / $4,504.00	Facility		$773.00	$2,580.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.65 / $458.79 / $630.49	Professional		$335.65	$458.79	$630.49