Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.53 / $777.91 / $4,933.00	Facility		$569.53	$777.91	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.52 / $569.53 / $793.45	Professional		$381.52	$569.53	$793.45
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 $112.51 / $661.82 / $1,141.65	Professional		$112.51	$661.82	$1,141.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.92 / $601.15 / $1,080.58	Professional		$416.92	$601.15	$1,080.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $569.53 / $777.91 / $5,756.00	Facility		$569.53	$777.91	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $472.39 / $596.11 / $817.84	Professional		$472.39	$596.11	$817.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $400.97 / $689.71	Professional		$68.44	$400.97	$689.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,574.00 / $8,339.00	Facility		$1,450.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.86 / $665.46 / $981.06	Professional		$504.86	$665.46	$981.06