Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.67 / $714.75 / $4,933.00	Facility		$486.67	$714.75	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $503.61 / $714.75	Professional		$325.16	$503.61	$714.75
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 $91.29 / $335.59 / $890.20	Professional		$91.29	$335.59	$890.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $457.00 / $783.28	Professional		$312.60	$457.00	$783.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $500.09 / $2,877.00 / $4,933.00	Facility		$500.09	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $453.42 / $504.70 / $714.75	Professional		$453.42	$504.70	$714.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $347.80 / $552.06	Professional		$33.77	$347.80	$552.06
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 $510.00 / $600.33 / $809.47	Professional		$510.00	$600.33	$809.47