Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.41 / $784.14 / $4,933.00	Facility		$552.41	$784.14	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.87 / $572.88 / $813.18	Professional		$424.87	$572.88	$813.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,132.42 / $2,485.42 / $3,367.36	Facility		$2,132.42	$2,485.42	$3,367.36
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.88 / $1,559.14 / $2,192.53	Facility	50	$1,148.88	$1,559.14	$2,192.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $539.50 / $959.11	Professional		$103.27	$539.50	$959.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.60 / $503.66 / $926.51	Professional		$337.60	$503.66	$926.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $552.41 / $576.65 / $6,906.00	Facility		$552.41	$576.65	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $552.41 / $601.86 / $837.00	Professional		$552.41	$601.86	$837.00
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 $579.61 / $692.18 / $937.37	Professional		$579.61	$692.18	$937.37