Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.29 / $783.82 / $4,933.00	Facility		$583.29	$783.82	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.75 / $527.87 / $783.82	Professional		$375.75	$527.87	$783.82
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 $1,296.55 / $1,699.19 / $2,127.17	Facility	50	$1,296.55	$1,699.19	$2,127.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $721.14 / $1,061.97	Professional		$108.89	$721.14	$1,061.97
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,081.71 / $1,081.71 / $1,396.47	Professional	50	$1,081.71	$1,081.71	$1,396.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.93 / $532.55 / $816.98	Professional		$385.93	$532.55	$816.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $583.10 / $4,112.00 / $4,933.00	Facility		$583.10	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $458.26 / $584.49 / $823.01	Professional		$458.26	$584.49	$823.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $390.74 / $653.91	Professional		$67.99	$390.74	$653.91
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 $582.60 / $672.49 / $914.27	Professional		$582.60	$672.49	$914.27