Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.15 / $4,933.00 / $7,217.95	Facility		$1,280.15	$4,933.00	$7,217.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,312.37 / $5,312.37 / $5,312.37	Facility	50	$5,312.37	$5,312.37	$5,312.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.84 / $931.36 / $1,586.44	Professional		$702.84	$931.36	$1,586.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,065.78 / $2,407.73 / $3,262.10	Facility		$2,065.78	$2,407.73	$3,262.10
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,296.55 / $1,677.59 / $2,127.17	Facility	50	$1,296.55	$1,677.59	$2,127.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $1,005.68 / $2,169.94	Professional		$274.86	$1,005.68	$2,169.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.54 / $931.08 / $1,843.67	Professional		$664.54	$931.08	$1,843.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $870.92 / $4,933.00 / $7,217.95	Facility		$870.92	$4,933.00	$7,217.95
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,312.37 / $5,312.37 / $5,312.37	Facility	50	$5,312.37	$5,312.37	$5,312.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $765.51 / $1,002.54 / $1,464.64	Professional		$765.51	$1,002.54	$1,464.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $675.29 / $1,066.85	Professional		$102.73	$675.29	$1,066.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $879.13 / $1,036.53 / $1,364.24	Professional		$879.13	$1,036.53	$1,364.24