Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.33 / $712.00 / $4,933.00	Facility		$314.33	$712.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.22 / $333.49 / $501.06	Professional		$221.22	$333.49	$501.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $284.95 / $619.41	Professional		$72.19	$284.95	$619.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.64 / $379.35 / $689.60	Professional		$243.64	$379.35	$689.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $385.55 / $4,112.00 / $4,933.00	Facility		$385.55	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $385.55 / $601.11	Professional		$314.33	$385.55	$601.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $254.72 / $441.91	Professional		$33.77	$254.72	$441.91
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 $368.01 / $459.85 / $641.73	Professional		$368.01	$459.85	$641.73