Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.34 / $734.98 / $4,933.00	Facility		$540.34	$734.98	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.89 / $540.34 / $734.98	Professional		$418.89	$540.34	$734.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.53 / $1,027.45 / $1,392.03	Facility		$881.53	$1,027.45	$1,392.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $385.27 / $811.09	Professional		$122.70	$385.27	$811.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.73 / $586.71 / $1,814.25	Professional		$417.73	$586.71	$1,814.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $583.72 / $4,112.00 / $4,933.00	Facility		$583.72	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $540.34 / $583.72 / $900.37	Professional		$540.34	$583.72	$900.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $444.07 / $667.37	Professional		$33.83	$444.07	$667.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,362.00 / $6,327.00	Facility		$1,050.00	$3,362.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.90 / $706.00 / $924.53	Professional		$536.90	$706.00	$924.53