Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.71 / $620.00 / $4,933.00	Facility		$457.71	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $457.71 / $605.70	Professional		$338.47	$457.71	$605.70
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 $77.90 / $297.89 / $509.75	Professional		$77.90	$297.89	$509.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.97 / $490.64 / $1,595.56	Professional		$334.97	$490.64	$1,595.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $522.25 / $2,052.62 / $4,933.00	Facility		$522.25	$2,052.62	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $415.40 / $522.25 / $664.33	Professional		$415.40	$522.25	$664.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $429.57 / $615.43	Professional		$65.27	$429.57	$615.43
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 $473.25 / $576.45 / $765.93	Professional		$473.25	$576.45	$765.93