Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.96 / $586.22 / $4,933.00	Facility		$519.96	$586.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.41 / $519.96 / $607.92	Professional		$377.41	$519.96	$607.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.68 / $1,231.58 / $1,668.61	Facility		$1,056.68	$1,231.58	$1,668.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $571.48 / $902.34	Professional		$102.26	$571.48	$902.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.39 / $441.07 / $728.90	Professional		$327.39	$441.07	$728.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $441.79 / $519.96 / $6,906.00	Facility		$441.79	$519.96	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $441.79 / $519.96 / $708.00	Professional		$441.79	$519.96	$708.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $250.53 / $478.56	Professional		$64.69	$250.53	$478.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,740.00	Facility		$1,050.00	$3,569.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $520.17 / $721.26	Professional		$448.26	$520.17	$721.26