Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.41 / $808.05 / $4,933.00	Facility		$618.41	$808.05	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $570.89 / $805.98	Professional		$428.62	$570.89	$805.98
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 $1,181.41 / $1,701.74 / $2,211.79	Facility	50	$1,181.41	$1,701.74	$2,211.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $711.62 / $1,120.80	Professional		$142.33	$711.62	$1,120.80
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.64 / $1,429.23 / $1,429.23	Professional	50	$1,141.64	$1,429.23	$1,429.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.29 / $566.86 / $941.40	Professional		$380.29	$566.86	$941.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $610.62 / $777.19 / $4,933.00	Facility		$610.62	$777.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $479.04 / $626.80 / $951.19	Professional		$479.04	$626.80	$951.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $412.09 / $683.65	Professional		$67.99	$412.09	$683.65
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 $602.21 / $700.62 / $915.04	Professional		$602.21	$700.62	$915.04