Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.27 / $762.54 / $4,933.00	Facility		$605.27	$762.54	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $547.16 / $762.54	Professional		$413.49	$547.16	$762.54
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 $1,106.93 / $1,631.05 / $2,127.17	Facility	50	$1,106.93	$1,631.05	$2,127.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $415.43 / $1,049.49	Professional		$118.94	$415.43	$1,049.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.99 / $521.20 / $964.00	Professional		$369.99	$521.20	$964.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $574.97 / $776.26 / $4,933.00	Facility		$574.97	$776.26	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $465.44 / $605.27 / $762.54	Professional		$465.44	$605.27	$762.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $360.24 / $613.81	Professional		$67.99	$360.24	$613.81
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 $551.54 / $665.20 / $852.83	Professional		$551.54	$665.20	$852.83