Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.74 / $486.11 / $4,933.00	Facility		$317.74	$486.11	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.85 / $336.37 / $486.11	Professional		$237.85	$336.37	$486.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.10 / $531.80 / $720.52	Facility		$453.10	$531.80	$720.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $221.17 / $414.32	Professional		$63.32	$221.17	$414.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.84 / $367.36 / $689.11	Professional		$230.84	$367.36	$689.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $317.74 / $486.11 / $4,933.00	Facility		$317.74	$486.11	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $317.74 / $396.84 / $580.72	Professional		$317.74	$396.84	$580.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $263.60 / $432.28	Professional		$33.77	$263.60	$432.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.68 / $445.33 / $642.42	Professional		$374.68	$445.33	$642.42