Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $462.19 / $4,933.00	Facility		$282.95	$462.19	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.97 / $323.31 / $540.91	Professional		$208.97	$323.31	$540.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.58 / $632.40 / $856.80	Facility		$542.58	$632.40	$856.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $241.88 / $358.34	Professional		$48.73	$241.88	$358.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $365.03 / $998.48	Professional		$239.10	$365.03	$998.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $296.30 / $462.19 / $4,933.00	Facility		$296.30	$462.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $282.94 / $379.99 / $540.91	Professional		$282.94	$379.99	$540.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $349.26 / $515.39	Professional		$32.30	$349.26	$515.39
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.12 / $427.17 / $537.10	Professional		$361.12	$427.17	$537.10