Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.17 / $712.00 / $4,933.00	Facility		$399.17	$712.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.18 / $413.95 / $633.94	Professional		$290.18	$413.95	$633.94
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 $1,005.25 / $1,364.22 / $1,918.43	Facility	50	$1,005.25	$1,364.22	$1,918.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $305.24 / $732.56	Professional		$75.12	$305.24	$732.56
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $746.18 / $746.18 / $1,121.66	Professional	50	$746.18	$746.18	$1,121.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $360.56 / $783.28	Professional		$236.62	$360.56	$783.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $374.52 / $798.76 / $4,933.00	Facility		$374.52	$798.76	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $374.52 / $430.69 / $671.00	Professional		$374.52	$430.69	$671.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $293.08 / $480.44	Professional		$33.76	$293.08	$480.44
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 $386.71 / $531.16 / $714.02	Professional		$386.71	$531.16	$714.02