Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.44 / $1,805.54 / $4,933.00	Facility		$475.44	$1,805.54	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.64 / $475.44 / $543.55	Professional		$344.64	$475.44	$543.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.14 / $416.25 / $563.96	Facility		$357.14	$416.25	$563.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $521.82 / $823.91	Professional		$93.38	$521.82	$823.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.37 / $380.39 / $665.02	Professional		$278.37	$380.39	$665.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $394.25 / $1,805.54 / $4,933.00	Facility		$394.25	$1,805.54	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $386.84 / $467.96 / $607.95	Professional		$386.84	$467.96	$607.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $234.66 / $398.54	Professional		$33.77	$234.66	$398.54
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 $382.99 / $448.21 / $619.05	Professional		$382.99	$448.21	$619.05