Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.43 / $620.00 / $4,933.00	Facility		$329.43	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $336.54 / $487.98	Professional		$243.77	$336.54	$487.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.81 / $1,618.71 / $2,193.09	Facility		$1,388.81	$1,618.71	$2,193.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $216.21 / $355.90	Professional		$56.55	$216.21	$355.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.08 / $371.00 / $1,168.26	Professional		$243.08	$371.00	$1,168.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $335.35 / $459.05 / $4,933.00	Facility		$335.35	$459.05	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $300.35 / $397.84 / $528.12	Professional		$300.35	$397.84	$528.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $332.38 / $485.14	Professional		$32.30	$332.38	$485.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.13 / $438.46 / $601.49	Professional		$363.13	$438.46	$601.49