Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.62 / $410.76 / $4,933.00	Facility		$269.62	$410.76	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.36 / $281.14 / $410.76	Professional		$189.36	$281.14	$410.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.56 / $579.22 / $814.91	Facility		$496.56	$579.22	$814.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $226.47 / $465.89	Professional		$58.67	$226.47	$465.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $338.93 / $968.27	Professional		$237.07	$338.93	$968.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $269.62 / $410.76 / $4,933.00	Facility		$269.62	$410.76	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $216.44 / $325.95 / $517.54	Professional		$216.44	$325.95	$517.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $283.82 / $414.36	Professional		$30.66	$283.82	$414.36
United Facility/Professional Facility Modifier Low / Median / High Price $479.80 / $1,247.00 / $2,029.00	Facility		$479.80	$1,247.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $383.49 / $505.01	Professional		$325.95	$383.49	$505.01