Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.76 / $393.43 / $4,933.00	Facility		$233.76	$393.43	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.65 / $289.24 / $393.43	Professional		$200.65	$289.24	$393.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,327.36 / $1,547.09 / $2,096.06	Facility		$1,327.36	$1,547.09	$2,096.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $253.79 / $406.05	Professional		$51.14	$253.79	$406.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.94 / $316.37 / $840.22	Professional		$207.94	$316.37	$840.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $233.76 / $393.43 / $4,933.00	Facility		$233.76	$393.43	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.19 / $313.68 / $495.72	Professional		$214.19	$313.68	$495.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $266.66 / $396.89	Professional		$32.05	$266.66	$396.89
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 $311.31 / $368.33 / $483.61	Professional		$311.31	$368.33	$483.61