Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.30 / $438.48 / $4,933.00	Facility		$300.30	$438.48	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.67 / $300.30 / $438.48	Professional		$209.67	$300.30	$438.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $372.23 / $504.32	Facility		$319.37	$372.23	$504.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $227.37 / $402.10	Professional		$65.09	$227.37	$402.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.57 / $307.94 / $1,045.96	Professional		$216.57	$307.94	$1,045.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $286.74 / $4,112.00 / $4,933.00	Facility		$286.74	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $286.74 / $329.75 / $481.29	Professional		$286.74	$329.75	$481.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.64 / $407.05 / $564.88	Professional		$325.64	$407.05	$564.88
United Facility/Professional Facility Modifier Low / Median / High Price $313.16 / $1,247.00 / $2,029.00	Facility		$313.16	$1,247.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $364.11 / $508.80	Professional		$311.36	$364.11	$508.80