Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.89 / $823.76 / $4,933.00	Facility		$417.89	$823.76	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $417.90 / $755.48	Professional		$292.30	$417.90	$755.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,783.37 / $2,093.16 / $2,835.90	Facility		$1,783.37	$2,093.16	$2,835.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $481.54 / $796.24	Professional		$81.86	$481.54	$796.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.27 / $475.59 / $868.42	Professional		$307.27	$475.59	$868.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $438.79 / $2,877.00 / $4,933.00	Facility		$438.79	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $375.37 / $478.73 / $799.20	Professional		$375.37	$478.73	$799.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $348.08 / $575.07	Professional		$33.96	$348.08	$575.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.51 / $543.99 / $735.72	Professional		$453.51	$543.99	$735.72