Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.95 / $4,933.00 / $5,866.19	Facility		$829.95	$4,933.00	$5,866.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.54 / $829.95 / $860.69	Professional		$601.54	$829.95	$860.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,634.69 / $3,070.82 / $4,160.47	Facility		$2,634.69	$3,070.82	$4,160.47
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,653.61 / $2,139.59 / $2,820.91	Facility	50	$1,653.61	$2,139.59	$2,820.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $956.62 / $1,506.68	Professional		$181.75	$956.62	$1,506.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.88 / $638.99 / $1,268.08	Professional		$496.88	$638.99	$1,268.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $673.45 / $903.72 / $6,906.00	Facility		$673.45	$903.72	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $673.45 / $707.01 / $1,040.44	Professional		$673.45	$707.01	$1,040.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $434.05 / $707.74	Professional		$68.25	$434.05	$707.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $753.25 / $1,044.42	Professional		$638.79	$753.25	$1,044.42