Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.34 / $4,933.00 / $4,933.00	Facility		$463.34	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.24 / $426.97 / $480.62	Professional		$339.24	$426.97	$480.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.39 / $1,202.58 / $1,660.30	Facility		$813.39	$1,202.58	$1,660.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $217.20 / $363.91	Professional		$55.74	$217.20	$363.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $449.63 / $772.20	Professional		$284.64	$449.63	$772.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $463.34 / $4,933.00 / $4,933.00	Facility		$463.34	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $339.24 / $428.86 / $481.84	Professional		$339.24	$428.86	$481.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $472.47 / $611.77	Professional		$361.62	$472.47	$611.77