Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.43 / $883.62 / $4,933.00	Facility		$436.43	$883.62	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $517.74 / $883.62	Professional		$289.25	$517.74	$883.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,109.56 / $2,476.00 / $3,354.59	Facility		$2,109.56	$2,476.00	$3,354.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $346.54 / $573.25	Professional		$84.74	$346.54	$573.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.72 / $559.44 / $1,027.84	Professional		$297.72	$559.44	$1,027.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $436.43 / $883.62 / $4,933.00	Facility		$436.43	$883.62	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $420.27 / $618.45 / $969.27	Professional		$420.27	$618.45	$969.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $573.34 / $864.64	Professional		$65.56	$573.34	$864.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,574.00 / $12,123.00	Facility		$1,450.00	$5,574.00	$12,123.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.75 / $704.17 / $928.16	Professional		$617.75	$704.17	$928.16