Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $464.00 / $4,933.00	Facility		$412.43	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $412.43 / $449.09	Professional		$300.20	$412.43	$449.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.88 / $398.47 / $539.87	Facility		$341.88	$398.47	$539.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $507.19 / $760.79	Professional		$82.12	$507.19	$760.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.45 / $327.27 / $580.55	Professional		$235.45	$327.27	$580.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $319.70 / $2,056.00 / $4,933.00	Facility		$319.70	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $388.76 / $458.61	Professional		$319.70	$388.76	$458.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $202.65 / $334.11	Professional		$33.77	$202.65	$334.11
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,209.00 / $2,029.00	Facility		$464.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.14 / $378.40 / $504.52	Professional		$308.14	$378.40	$504.52