Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $464.00 / $4,933.00	Facility		$142.75	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $146.50 / $234.90	Professional		$89.87	$146.50	$234.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.50 / $2,301.35 / $3,117.97	Facility		$1,974.50	$2,301.35	$3,117.97
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,063.79 / $1,443.67 / $2,114.07	Facility	50	$1,063.79	$1,443.67	$2,114.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $108.50 / $275.83	Professional		$28.11	$108.50	$275.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $265.23 / $265.23 / $418.62	Professional	50	$265.23	$265.23	$418.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $145.90 / $239.58	Professional		$91.68	$145.90	$239.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $161.29 / $2,056.00 / $4,933.00	Facility		$161.29	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $161.29 / $246.64	Professional		$123.01	$161.29	$246.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $151.64 / $213.97	Professional		$118.12	$151.64	$213.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,740.00	Facility		$1,050.00	$3,569.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $200.11 / $262.02	Professional		$165.54	$200.11	$262.02