Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.57 / $865.45 / $4,933.00	Facility		$586.57	$865.45	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.81 / $586.57 / $865.45	Professional		$393.81	$586.57	$865.45
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 $115.22 / $643.86 / $1,067.46	Professional		$115.22	$643.86	$1,067.46
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,087.31 / $1,087.31 / $1,530.69	Professional	50	$1,087.31	$1,087.31	$1,530.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.40 / $535.58 / $820.66	Professional		$375.40	$535.58	$820.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $834.54 / $4,933.00	Facility		$594.00	$834.54	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $488.32 / $608.29 / $1,006.50	Professional		$488.32	$608.29	$1,006.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $419.92 / $716.03	Professional		$67.99	$419.92	$716.03
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 $599.47 / $720.90 / $976.75	Professional		$599.47	$720.90	$976.75