Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.75 / $592.64 / $4,933.00	Facility		$410.75	$592.64	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $410.75 / $592.64	Professional		$278.13	$410.75	$592.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.70 / $374.10 / $523.88	Facility		$320.70	$374.10	$523.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $340.53 / $560.54	Professional		$84.61	$340.53	$560.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $443.98 / $1,425.79	Professional		$298.95	$443.98	$1,425.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $395.35 / $4,112.00 / $4,933.00	Facility		$395.35	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $395.35 / $443.38 / $668.88	Professional		$395.35	$443.38	$668.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.60 / $541.97 / $753.83	Professional		$436.60	$541.97	$753.83
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 $444.80 / $547.73 / $676.51	Professional		$444.80	$547.73	$676.51