Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.20 / $712.00 / $4,933.00	Facility		$358.20	$712.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $361.38 / $489.43	Professional		$273.39	$361.38	$489.43
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 $81.65 / $446.94 / $741.34	Professional		$81.65	$446.94	$741.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $403.46 / $828.37	Professional		$285.70	$403.46	$828.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $397.73 / $3,916.00 / $4,933.00	Facility		$397.73	$3,916.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $397.73 / $606.64	Professional		$318.75	$397.73	$606.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $317.37 / $490.80	Professional		$32.13	$317.37	$490.80
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 $396.01 / $508.25 / $649.44	Professional		$396.01	$508.25	$649.44