Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.82 / $531.03 / $4,933.00	Facility		$346.82	$531.03	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $346.82 / $531.03	Professional		$225.28	$346.82	$531.03
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 $71.58 / $253.04 / $465.59	Professional		$71.58	$253.04	$465.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.25 / $402.76 / $733.57	Professional		$257.25	$402.76	$733.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $346.82 / $2,056.00 / $4,933.00	Facility		$346.82	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $314.98 / $396.60 / $621.74	Professional		$314.98	$396.60	$621.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $222.19 / $451.94	Professional		$32.13	$222.19	$451.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,202.00 / $7,355.00	Facility		$1,450.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.39 / $476.88 / $669.80	Professional		$391.39	$476.88	$669.80