Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.47 / $395.49 / $4,933.00	Facility		$320.47	$395.49	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.89 / $320.47 / $410.14	Professional		$231.89	$320.47	$410.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.77 / $352.11 / $474.53	Facility		$301.77	$352.11	$474.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $349.61 / $579.61	Professional		$62.56	$349.61	$579.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.85 / $295.77 / $445.79	Professional		$202.85	$295.77	$445.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $320.47 / $354.71 / $6,906.00	Facility		$320.47	$354.71	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $354.71 / $504.45	Professional		$300.20	$354.71	$504.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $157.41 / $332.10	Professional		$32.24	$157.41	$332.10
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $2,800.00 / $4,594.00	Facility		$645.00	$2,800.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.47 / $373.15 / $493.63	Professional		$319.47	$373.15	$493.63