Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.24 / $833.50 / $4,933.00	Facility		$682.24	$833.50	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.85 / $683.08 / $833.50	Professional		$530.85	$683.08	$833.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,779.67 / $5,609.93 / $7,600.57	Facility		$4,779.67	$5,609.93	$7,600.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $577.61 / $948.93	Professional		$140.28	$577.61	$948.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.26 / $750.07 / $1,234.65	Professional		$449.26	$750.07	$1,234.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $682.24 / $802.63 / $4,933.00	Facility		$682.24	$802.63	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $623.54 / $795.58 / $1,057.47	Professional		$623.54	$795.58	$1,057.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $419.70 / $735.55	Professional		$68.34	$419.70	$735.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.04 / $5,637.33 / $8,884.00	Facility		$2,364.04	$5,637.33	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.73 / $854.57 / $1,176.63	Professional		$675.73	$854.57	$1,176.63