Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.13 / $636.44 / $4,933.00	Facility		$417.13	$636.44	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $449.37 / $636.44	Professional		$303.01	$449.37	$636.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,564.81 / $1,825.30 / $2,568.06	Facility		$1,564.81	$1,825.30	$2,568.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $345.70 / $591.57	Professional		$90.41	$345.70	$591.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.25 / $497.42 / $1,425.79	Professional		$345.25	$497.42	$1,425.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $519.69 / $2,877.00 / $4,933.00	Facility		$519.69	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $417.13 / $519.69 / $725.60	Professional		$417.13	$519.69	$725.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $445.07 / $643.95	Professional		$32.30	$445.07	$643.95
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 $473.33 / $580.50 / $736.84	Professional		$473.33	$580.50	$736.84