Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.11 / $559.38 / $4,933.00	Facility		$492.11	$559.38	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.50 / $429.05 / $616.27	Professional		$305.50	$429.05	$616.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $217.14 / $305.51	Facility		$184.08	$217.14	$305.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $570.05 / $1,001.18	Professional		$102.01	$570.05	$1,001.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $422.08 / $821.22	Professional		$315.70	$422.08	$821.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $363.40 / $538.66 / $4,933.00	Facility		$363.40	$538.66	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $363.40 / $443.79 / $638.27	Professional		$363.40	$443.79	$638.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $319.04 / $511.64	Professional		$33.96	$319.04	$511.64
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.47 / $432.99 / $598.88	Professional		$365.47	$432.99	$598.88