Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.41 / $526.79 / $4,933.00	Facility		$272.41	$526.79	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $299.33 / $418.09	Professional		$209.32	$299.33	$418.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,714.20 / $2,534.44 / $3,499.05	Facility		$1,714.20	$2,534.44	$3,499.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $227.79 / $376.82	Professional		$57.94	$227.79	$376.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.34 / $333.81 / $704.93	Professional		$225.34	$333.81	$704.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $333.22 / $1,902.31 / $4,933.00	Facility		$333.22	$1,902.31	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.15 / $333.22 / $526.79	Professional		$214.15	$333.22	$526.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $261.37 / $409.47	Professional		$30.56	$261.37	$409.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.70 / $419.38 / $551.22	Professional		$325.70	$419.38	$551.22