Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.62 / $2,056.00 / $4,933.00	Facility		$525.62	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.29 / $464.24 / $540.96	Professional		$377.29	$464.24	$540.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $193.36 / $350.22	Facility		$164.30	$193.36	$350.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $432.05 / $689.84	Professional		$124.30	$432.05	$689.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.22 / $480.69 / $973.88	Professional		$353.22	$480.69	$973.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $417.13 / $2,056.00 / $4,933.00	Facility		$417.13	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $407.00 / $461.57 / $682.63	Professional		$407.00	$461.57	$682.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $359.46 / $550.38	Professional		$62.22	$359.46	$550.38
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 $407.60 / $529.88 / $679.69	Professional		$407.60	$529.88	$679.69