Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.58 / $2,056.00 / $4,933.00	Facility		$389.58	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $389.58 / $538.32	Professional		$273.98	$389.58	$538.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.44 / $298.14 / $401.79	Facility		$254.44	$298.14	$401.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $480.06 / $828.10	Professional		$81.61	$480.06	$828.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.58 / $351.88 / $651.48	Professional		$256.58	$351.88	$651.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $315.86 / $2,056.00 / $4,933.00	Facility		$315.86	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $389.58 / $611.33	Professional		$315.86	$389.58	$611.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $225.28 / $401.02	Professional		$33.81	$225.28	$401.02
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $363.16 / $526.42	Professional		$294.45	$363.16	$526.42