Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.70 / $491.25 / $4,933.00	Facility		$328.70	$491.25	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.18 / $329.13 / $491.25	Professional		$238.18	$329.13	$491.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.64 / $516.01 / $699.12	Facility		$439.64	$516.01	$699.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $400.52 / $636.44	Professional		$64.84	$400.52	$636.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $389.03 / $682.78	Professional		$254.30	$389.03	$682.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $328.70 / $491.25 / $4,933.00	Facility		$328.70	$491.25	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $301.91 / $382.17 / $569.97	Professional		$301.91	$382.17	$569.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $254.62 / $419.57	Professional		$33.77	$254.62	$419.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,048.00 / $7,355.00	Facility		$1,450.00	$5,048.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.14 / $456.69 / $640.76	Professional		$382.14	$456.69	$640.76