Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.90 / $538.59 / $4,933.00	Facility		$352.90	$538.59	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $373.10 / $538.59	Professional		$263.18	$373.10	$538.59
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 $72.20 / $403.54 / $708.73	Professional		$72.20	$403.54	$708.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.72 / $432.12 / $746.90	Professional		$271.72	$432.12	$746.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $352.90 / $518.64 / $4,933.00	Facility		$352.90	$518.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $352.90 / $473.57 / $651.50	Professional		$352.90	$473.57	$651.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $255.50 / $441.91	Professional		$33.77	$255.50	$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 $431.19 / $530.54 / $764.92	Professional		$431.19	$530.54	$764.92