Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.32 / $403.60 / $4,933.00	Facility		$320.32	$403.60	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $320.32 / $467.28	Professional		$238.66	$320.32	$467.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.03 / $684.20 / $926.99	Facility		$587.03	$684.20	$926.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $220.33 / $352.54	Professional		$58.25	$220.33	$352.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.56 / $343.14 / $1,178.33	Professional		$239.56	$343.14	$1,178.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $320.32 / $500.22 / $4,933.00	Facility		$320.32	$500.22	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $342.24 / $467.28	Professional		$288.99	$342.24	$467.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.62 / $223.39 / $368.71	Professional		$33.62	$223.39	$368.71
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 $298.17 / $382.29 / $543.48	Professional		$298.17	$382.29	$543.48