Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.18 / $4,933.00 / $16,664.86	Facility		$709.18	$4,933.00	$16,664.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.47 / $709.18 / $709.18	Professional		$483.47	$709.18	$709.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,934.03 / $3,419.71 / $4,633.17	Facility		$2,934.03	$3,419.71	$4,633.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $499.41 / $925.20	Professional		$142.99	$499.41	$925.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.88 / $642.04 / $1,142.00	Professional		$519.88	$642.04	$1,142.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $562.14 / $4,933.00 / $16,664.86	Facility		$562.14	$4,933.00	$16,664.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $562.14 / $632.49 / $970.92	Professional		$562.14	$632.49	$970.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $457.49 / $682.92	Professional		$62.75	$457.49	$682.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.55 / $747.43 / $995.58	Professional		$619.55	$747.43	$995.58