Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.03 / $708.75 / $4,933.00	Facility		$492.03	$708.75	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.09 / $508.76 / $708.75	Professional		$355.09	$508.76	$708.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.51 / $387.86 / $545.70	Facility		$332.51	$387.86	$545.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $395.27 / $853.78	Professional		$120.17	$395.27	$853.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $579.70 / $1,735.12	Professional		$407.43	$579.70	$1,735.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $2,877.00 / $4,933.00	Facility		$613.44	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $492.03 / $613.44 / $850.93	Professional		$492.03	$613.44	$850.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $510.90 / $730.51	Professional		$65.27	$510.90	$730.51
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $1,209.00 / $2,029.00	Facility		$700.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.48 / $637.04 / $843.25	Professional		$539.48	$637.04	$843.25