Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.78 / $557.29 / $4,933.00	Facility		$425.78	$557.29	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $425.78 / $557.29	Professional		$324.83	$425.78	$557.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.81 / $923.66 / $1,251.41	Facility		$795.81	$923.66	$1,251.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $532.22 / $899.17	Professional		$95.24	$532.22	$899.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $494.61 / $1,592.68	Professional		$321.70	$494.61	$1,592.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $425.78 / $591.21 / $4,933.00	Facility		$425.78	$591.21	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $425.78 / $591.21 / $736.73	Professional		$425.78	$591.21	$736.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.62 / $322.78 / $521.03	Professional		$33.62	$322.78	$521.03
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.58 / $652.13 / $817.40	Professional		$498.58	$652.13	$817.40