Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.00 / $783.72 / $4,933.00	Facility		$552.00	$783.72	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.56 / $572.45 / $812.75	Professional		$424.56	$572.45	$812.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,932.50 / $2,252.40 / $3,051.64	Facility		$1,932.50	$2,252.40	$3,051.64
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,105.19 / $1,569.35 / $1,989.94	Facility	50	$1,105.19	$1,569.35	$1,989.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $607.44 / $959.11	Professional		$114.14	$607.44	$959.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $505.57 / $926.17	Professional		$362.58	$505.57	$926.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $541.02 / $552.00 / $6,906.00	Facility		$541.02	$552.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $541.02 / $588.15 / $812.75	Professional		$541.02	$588.15	$812.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $386.12 / $625.60	Professional		$67.94	$386.12	$625.60
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 $549.65 / $681.23 / $917.16	Professional		$549.65	$681.23	$917.16