Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.65 / $2,056.00 / $4,933.00	Facility		$358.65	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $381.96 / $528.01	Professional		$279.04	$381.96	$528.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.70 / $552.51 / $740.63	Facility		$373.70	$552.51	$740.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $282.58 / $499.95	Professional		$76.86	$282.58	$499.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $419.14 / $866.39	Professional		$293.88	$419.14	$866.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $2,056.00 / $4,933.00	Facility		$365.10	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $358.65 / $411.77 / $618.66	Professional		$358.65	$411.77	$618.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $349.33 / $529.19	Professional		$32.05	$349.33	$529.19
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.36 / $512.34 / $666.34	Professional		$413.36	$512.34	$666.34