Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.65 / $660.91 / $4,933.00	Facility		$458.65	$660.91	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.87 / $476.29 / $660.91	Professional		$350.87	$476.29	$660.91
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 $93.46 / $611.51 / $890.63	Professional		$93.46	$611.51	$890.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.35 / $525.90 / $912.99	Professional		$352.35	$525.90	$912.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $458.65 / $636.42 / $4,933.00	Facility		$458.65	$636.42	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $470.06 / $540.55 / $820.40	Professional		$470.06	$540.55	$820.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $328.83 / $583.69	Professional		$68.35	$328.83	$583.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,166.63 / $4,835.00 / $7,355.00	Facility		$1,166.63	$4,835.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.57 / $636.82 / $866.48	Professional		$523.57	$636.82	$866.48