Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.52 / $1,149.16 / $4,933.00	Facility		$547.52	$1,149.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $1,108.10 / $1,149.16	Professional		$273.08	$1,108.10	$1,149.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.45 / $394.47 / $534.45	Facility		$338.45	$394.47	$534.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $193.83 / $325.64	Professional		$54.83	$193.83	$325.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $1,008.16 / $1,454.23	Professional		$382.01	$1,008.16	$1,454.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $547.52 / $1,007.24 / $4,933.00	Facility		$547.52	$1,007.24	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $373.12 / $1,007.24 / $1,158.32	Professional		$373.12	$1,007.24	$1,158.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.57 / $277.80 / $362.35	Professional		$241.57	$277.80	$362.35
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.88 / $496.78 / $697.74	Professional		$386.88	$496.78	$697.74