Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.44 / $329.01 / $4,933.00	Facility		$263.44	$329.01	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $263.44 / $363.88	Professional		$188.91	$263.44	$363.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.44 / $1,431.79 / $1,939.84	Facility		$1,228.44	$1,431.79	$1,939.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $240.13 / $338.21	Professional		$48.02	$240.13	$338.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.90 / $275.93 / $953.88	Professional		$195.90	$275.93	$953.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $282.11 / $2,056.00 / $4,933.00	Facility		$282.11	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.45 / $282.11 / $372.38	Professional		$223.45	$282.11	$372.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.65 / $252.79 / $352.02	Professional		$205.65	$252.79	$352.02
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.76 / $313.74 / $426.31	Professional		$262.76	$313.74	$426.31