Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.11 / $625.33 / $5,757.00	Facility		$470.11	$625.33	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.22 / $470.11 / $625.33	Professional		$338.22	$470.11	$625.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,010.51 / $2,343.32 / $3,174.83	Facility		$2,010.51	$2,343.32	$3,174.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $613.51 / $966.27	Professional		$104.30	$613.51	$966.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.47 / $468.14 / $1,709.22	Professional		$333.47	$468.14	$1,709.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $514.48 / $4,933.00 / $5,757.00	Facility		$514.48	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $470.11 / $514.48 / $695.86	Professional		$470.11	$514.48	$695.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $392.81 / $632.63	Professional		$33.88	$392.81	$632.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.80 / $3,179.70 / $6,036.00	Facility		$1,433.80	$3,179.70	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.29 / $576.03 / $759.66	Professional		$471.29	$576.03	$759.66