Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.64 / $2,056.00 / $4,933.00	Facility		$325.64	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $325.64 / $352.11	Professional		$219.95	$325.64	$352.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.71 / $982.05 / $1,330.53	Facility		$836.71	$982.05	$1,330.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $327.79 / $574.40	Professional		$82.42	$327.79	$574.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $328.90 / $654.99	Professional		$232.38	$328.90	$654.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $296.64 / $2,056.00 / $4,933.00	Facility		$296.64	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $337.97 / $548.89	Professional		$296.64	$337.97	$548.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.90 / $346.35 / $497.91	Professional		$270.90	$346.35	$497.91
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $364.56 / $681.58	Professional		$268.58	$364.56	$681.58