Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.54 / $532.28 / $4,933.00	Facility		$398.54	$532.28	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $401.75 / $576.37	Professional		$301.50	$401.75	$576.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,817.95 / $2,118.89 / $2,870.76	Facility		$1,817.95	$2,118.89	$2,870.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $495.31 / $782.08	Professional		$88.64	$495.31	$782.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.86 / $417.40 / $1,471.83	Professional		$297.86	$417.40	$1,471.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $405.71 / $541.86 / $4,933.00	Facility		$405.71	$541.86	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $384.80 / $464.41 / $631.64	Professional		$384.80	$464.41	$631.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $318.16 / $515.72	Professional		$33.77	$318.16	$515.72
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 $424.20 / $510.62 / $650.27	Professional		$424.20	$510.62	$650.27