Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.10 / $305.14 / $4,933.00	Facility		$123.10	$305.14	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $135.24 / $242.19	Professional		$77.18	$135.24	$242.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.23 / $1,149.48 / $1,557.36	Facility		$986.23	$1,149.48	$1,557.36
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $528.46 / $778.68 / $878.41	Facility	50	$528.46	$778.68	$878.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $135.30 / $224.31	Professional		$24.21	$135.30	$224.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $159.07 / $353.14	Professional		$82.14	$159.07	$353.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $1,891.00 / $4,933.00	Facility		$160.83	$1,891.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $170.02 / $255.41	Professional		$101.70	$170.02	$255.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $168.84 / $232.00	Professional		$137.25	$168.84	$232.00
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 $176.47 / $204.32 / $272.63	Professional		$176.47	$204.32	$272.63