Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.30 / $3,877.37 / $5,416.63	Facility		$347.30	$3,877.37	$5,416.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $431.54 / $588.90	Professional		$278.54	$431.54	$588.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,713.67 / $3,167.67 / $4,315.24	Facility		$2,713.67	$3,167.67	$4,315.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $281.80 / $547.24	Professional		$71.67	$281.80	$547.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.77 / $447.73 / $751.90	Professional		$278.77	$447.73	$751.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $420.97 / $3,877.37 / $5,416.63	Facility		$420.97	$3,877.37	$5,416.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $463.43 / $764.37	Professional		$347.30	$463.43	$764.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.46 / $478.70 / $690.00	Professional		$384.46	$478.70	$690.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,605.67 / $5,574.00 / $8,339.00	Facility		$1,605.67	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.09 / $588.14 / $781.82	Professional		$475.09	$588.14	$781.82