Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.02 / $464.65 / $5,804.81	Facility		$292.02	$464.65	$5,804.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $304.58 / $521.91	Professional		$208.12	$304.58	$521.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.60 / $3,201.89 / $4,397.72	Facility		$2,696.60	$3,201.89	$4,397.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $241.29 / $416.51	Professional		$61.37	$241.29	$416.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $348.45 / $728.02	Professional		$224.66	$348.45	$728.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $297.27 / $557.58 / $4,933.00	Facility		$297.27	$557.58	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $343.91 / $553.52	Professional		$273.45	$343.91	$553.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $312.83 / $471.78	Professional		$32.28	$312.83	$471.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.15 / $424.62 / $571.66	Professional		$339.15	$424.62	$571.66