Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.47 / $672.37 / $4,933.00	Facility		$450.47	$672.37	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.88 / $450.47 / $672.37	Professional		$316.88	$450.47	$672.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.12 / $436.53 / $613.98	Facility		$374.12	$436.53	$613.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $376.77 / $620.23	Professional		$98.54	$376.77	$620.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.37 / $528.75 / $1,594.12	Professional		$347.37	$528.75	$1,594.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $535.57 / $2,877.00 / $4,933.00	Facility		$535.57	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $450.47 / $535.57 / $726.71	Professional		$450.47	$535.57	$726.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.24 / $490.12 / $701.04	Professional		$65.24	$490.12	$701.04
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 $506.86 / $592.46 / $786.16	Professional		$506.86	$592.46	$786.16