Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.66 / $402.36 / $4,933.00	Facility		$265.66	$402.36	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $278.94 / $402.36	Professional		$191.53	$278.94	$402.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,620.17 / $6,550.51 / $8,874.89	Facility		$5,620.17	$6,550.51	$8,874.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $207.60 / $355.40	Professional		$56.46	$207.60	$355.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $308.58 / $894.90	Professional		$193.89	$308.58	$894.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $270.44 / $409.60 / $4,933.00	Facility		$270.44	$409.60	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $265.66 / $303.41 / $422.47	Professional		$265.66	$303.41	$422.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $338.99 / $472.94	Professional		$272.92	$338.99	$472.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.99 / $381.38 / $526.29	Professional		$317.99	$381.38	$526.29