Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.47 / $701.66 / $4,933.00	Facility		$454.47	$701.66	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.45 / $471.30 / $701.66	Professional		$349.45	$471.30	$701.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.85 / $2,174.71 / $2,946.39	Facility		$1,865.85	$2,174.71	$2,946.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $325.87 / $827.66	Professional		$99.07	$325.87	$827.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.87 / $426.78 / $756.51	Professional		$280.87	$426.78	$756.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $472.33 / $2,877.00 / $4,933.00	Facility		$472.33	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $454.47 / $494.24 / $701.66	Professional		$454.47	$494.24	$701.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $326.11 / $570.12	Professional		$33.76	$326.11	$570.12
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 $497.38 / $583.57 / $796.82	Professional		$497.38	$583.57	$796.82