Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.87 / $4,112.00 / $4,933.00	Facility		$472.87	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.37 / $461.39 / $623.07	Professional		$324.37	$461.39	$623.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.85 / $2,174.71 / $2,946.39	Facility		$1,865.85	$2,174.71	$2,946.39
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,249.74 / $1,473.19 / $1,997.73	Facility	50	$1,249.74	$1,473.19	$1,997.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $519.91 / $820.93	Professional		$109.46	$519.91	$820.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.01 / $429.61 / $792.88	Professional		$294.01	$429.61	$792.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $460.19 / $4,112.00 / $4,933.00	Facility		$460.19	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $421.84 / $490.38 / $630.25	Professional		$421.84	$490.38	$630.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $294.16 / $506.69	Professional		$33.76	$294.16	$506.69
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 $438.05 / $525.52 / $698.54	Professional		$438.05	$525.52	$698.54