Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.18 / $702.35 / $4,933.00	Facility		$342.18	$702.35	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $375.22 / $540.79	Professional		$255.43	$375.22	$540.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.80 / $2,182.86 / $2,957.43	Facility		$1,859.80	$2,182.86	$2,957.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $395.02 / $693.76	Professional		$70.69	$395.02	$693.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.66 / $409.30 / $745.07	Professional		$264.66	$409.30	$745.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $414.31 / $4,112.00 / $4,933.00	Facility		$414.31	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $297.55 / $414.31 / $681.40	Professional		$297.55	$414.31	$681.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $283.59 / $463.14	Professional		$33.77	$283.59	$463.14
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 $405.81 / $484.83 / $687.23	Professional		$405.81	$484.83	$687.23