Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.70 / $686.88 / $4,933.00	Facility		$538.70	$686.88	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.57 / $538.70 / $686.88	Professional		$385.57	$538.70	$686.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.04 / $689.42 / $929.40	Facility		$591.04	$689.42	$929.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $434.18 / $729.42	Professional		$126.37	$434.18	$729.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.60 / $525.64 / $1,935.10	Professional		$376.60	$525.64	$1,935.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $571.50 / $2,877.00 / $4,933.00	Facility		$571.50	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $538.70 / $571.50 / $742.95	Professional		$538.70	$571.50	$742.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $424.87 / $675.13	Professional		$68.25	$424.87	$675.13
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 $531.62 / $629.30 / $844.41	Professional		$531.62	$629.30	$844.41