Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.57 / $467.93 / $4,933.00	Facility		$258.57	$467.93	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $320.73 / $445.65	Professional		$188.09	$320.73	$445.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.21 / $461.00 / $648.59	Facility		$395.21	$461.00	$648.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $214.60 / $412.70	Professional		$60.06	$214.60	$412.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.89 / $352.75 / $912.16	Professional		$226.89	$352.75	$912.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.22 / $453.67 / $4,933.00	Facility		$263.22	$453.67	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $258.57 / $365.70 / $512.49	Professional		$258.57	$365.70	$512.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $317.53 / $469.92	Professional		$32.06	$317.53	$469.92
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 $332.66 / $406.22 / $542.70	Professional		$332.66	$406.22	$542.70