Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.21 / $659.45 / $4,933.00	Facility		$467.21	$659.45	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.50 / $490.57 / $659.45	Professional		$374.50	$490.57	$659.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,899.28 / $2,213.67 / $2,999.19	Facility		$1,899.28	$2,213.67	$2,999.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $350.77 / $624.25	Professional		$95.41	$350.77	$624.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.70 / $504.77 / $1,584.05	Professional		$367.70	$504.77	$1,584.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $512.37 / $2,877.00 / $4,933.00	Facility		$512.37	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $467.21 / $512.42 / $799.91	Professional		$467.21	$512.42	$799.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $458.25 / $658.53	Professional		$32.24	$458.25	$658.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.79 / $625.45 / $1,083.90	Professional		$477.79	$625.45	$1,083.90