Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.41 / $614.78 / $4,933.00	Facility		$443.41	$614.78	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.24 / $443.41 / $614.78	Professional		$344.24	$443.41	$614.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,215.83 / $2,582.62 / $3,499.05	Facility		$2,215.83	$2,582.62	$3,499.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $330.84 / $661.69	Professional		$89.99	$330.84	$661.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.70 / $501.54 / $1,481.90	Professional		$356.70	$501.54	$1,481.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $491.11 / $2,877.00 / $4,933.00	Facility		$491.11	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $443.41 / $491.11 / $745.76	Professional		$443.41	$491.11	$745.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $413.68 / $601.87	Professional		$32.30	$413.68	$601.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,806.00 / $8,884.00	Facility		$2,524.00	$5,806.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.75 / $604.20 / $783.06	Professional		$453.75	$604.20	$783.06