Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.44 / $635.63 / $4,933.00	Facility		$455.44	$635.63	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.46 / $455.44 / $635.63	Professional		$352.46	$455.44	$635.63
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 $108.76 / $458.82 / $581.87	Professional		$108.76	$458.82	$581.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.85 / $512.94 / $1,519.31	Professional		$361.85	$512.94	$1,519.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $501.28 / $2,877.00 / $4,933.00	Facility		$501.28	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $455.44 / $501.28 / $766.81	Professional		$455.44	$501.28	$766.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $445.07 / $643.95	Professional		$32.30	$445.07	$643.95
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 $461.87 / $604.11 / $791.09	Professional		$461.87	$604.11	$791.09