Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.12 / $581.16 / $4,933.00	Facility		$376.12	$581.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $390.05 / $602.69	Professional		$273.51	$390.05	$602.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,932.50 / $2,252.40 / $3,051.64	Facility		$1,932.50	$2,252.40	$3,051.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $260.20 / $690.21	Professional		$70.77	$260.20	$690.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.90 / $350.16 / $634.50	Professional		$222.90	$350.16	$634.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $376.12 / $453.71 / $4,933.00	Facility		$376.12	$453.71	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $376.12 / $453.71 / $646.47	Professional		$376.12	$453.71	$646.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $293.08 / $480.44	Professional		$33.76	$293.08	$480.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.86 / $530.05 / $712.35	Professional		$452.86	$530.05	$712.35