Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.85 / $2,056.00 / $4,933.00	Facility		$733.85	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $568.33 / $762.07	Professional		$486.01	$568.33	$762.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $203.16 / $275.25	Facility		$173.09	$203.16	$275.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $378.69 / $842.44	Professional		$67.59	$378.69	$842.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.17 / $672.51 / $1,312.07	Professional		$419.17	$672.51	$1,312.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $583.00 / $2,056.00 / $4,933.00	Facility		$583.00	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $583.00 / $762.07	Professional		$334.90	$583.00	$762.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $179.97	Professional		$75.00	$100.00	$179.97
United Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $7,780.00 / $20,133.00	Facility		$788.00	$7,780.00	$20,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $379.76 / $479.21	Professional		$303.89	$379.76	$479.21