Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.97 / $588.21 / $4,933.00	Facility		$352.97	$588.21	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $397.68 / $588.21	Professional		$241.81	$397.68	$588.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.55 / $434.22 / $588.29	Facility		$372.55	$434.22	$588.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $430.03 / $503.50	Professional		$76.95	$430.03	$503.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $441.87 / $1,238.75	Professional		$298.05	$441.87	$1,238.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $352.97 / $588.21 / $4,933.00	Facility		$352.97	$588.21	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $352.97 / $463.81 / $665.52	Professional		$352.97	$463.81	$665.52
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 $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 $430.17 / $525.87 / $678.23	Professional		$430.17	$525.87	$678.23