Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.41 / $614.54 / $4,933.00	Facility		$381.41	$614.54	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $381.41 / $585.28	Professional		$282.01	$381.41	$585.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.79 / $537.37 / $724.42	Facility		$447.79	$537.37	$724.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.23 / $441.86 / $776.03	Professional		$82.23	$441.86	$776.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.81 / $422.77 / $915.77	Professional		$271.81	$422.77	$915.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $400.48 / $614.54 / $4,933.00	Facility		$400.48	$614.54	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $359.28 / $426.75 / $646.82	Professional		$359.28	$426.75	$646.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $401.00 / $612.35	Professional		$32.28	$401.00	$612.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,351.00	Facility		$3,500.00	$8,702.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.83 / $522.82 / $733.18	Professional		$397.83	$522.82	$733.18