Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.04 / $627.64 / $4,933.00	Facility		$412.04	$627.64	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $450.80 / $627.64	Professional		$300.77	$450.80	$627.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,430.33 / $2,832.64 / $3,837.78	Facility		$2,430.33	$2,832.64	$3,837.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $346.02 / $665.43	Professional		$90.50	$346.02	$665.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.26 / $499.85 / $1,463.20	Professional		$337.26	$499.85	$1,463.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $507.63 / $2,877.00 / $4,933.00	Facility		$507.63	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $412.04 / $507.63 / $719.14	Professional		$412.04	$507.63	$719.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $361.97 / $593.98	Professional		$33.88	$361.97	$593.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,806.00 / $8,884.00	Facility		$2,524.00	$5,806.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.53 / $569.88 / $740.24	Professional		$483.53	$569.88	$740.24