Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.55 / $4,112.00 / $4,933.00	Facility		$1,192.55	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.33 / $978.83 / $1,236.72	Professional		$745.33	$978.83	$1,236.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,253.66 / $2,626.71 / $3,558.78	Facility		$2,253.66	$2,626.71	$3,558.78
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,214.19 / $1,779.39 / $2,320.63	Facility	50	$1,214.19	$1,779.39	$2,320.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $909.55 / $2,049.69	Professional		$232.30	$909.55	$2,049.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.14 / $954.35 / $1,662.17	Professional		$715.14	$954.35	$1,662.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $980.62 / $4,112.00 / $4,933.00	Facility		$980.62	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $844.93 / $989.17 / $1,491.07	Professional		$844.93	$989.17	$1,491.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $634.48 / $1,005.47	Professional		$68.35	$634.48	$1,005.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,828.63 / $5,202.00 / $8,339.00	Facility		$1,828.63	$5,202.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $928.46 / $1,093.93 / $1,505.44	Professional		$928.46	$1,093.93	$1,505.44