Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.55 / $634.35 / $4,933.00	Facility		$405.55	$634.35	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.06 / $417.31 / $793.72	Professional		$295.06	$417.31	$793.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.93 / $2,023.39 / $2,741.37	Facility		$1,723.93	$2,023.39	$2,741.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $519.55 / $840.79	Professional		$93.43	$519.55	$840.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.48 / $477.99 / $840.91	Professional		$297.48	$477.99	$840.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $405.55 / $634.35 / $4,933.00	Facility		$405.55	$634.35	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $337.38 / $461.76 / $818.43	Professional		$337.38	$461.76	$818.43
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 $1,050.00 / $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 $447.15 / $551.50 / $723.46	Professional		$447.15	$551.50	$723.46