Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.07 / $620.00 / $4,933.00	Facility		$503.07	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.91 / $503.07 / $602.53	Professional		$364.91	$503.07	$602.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.50 / $2,301.35 / $3,117.97	Facility		$1,974.50	$2,301.35	$3,117.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $550.66 / $869.48	Professional		$98.54	$550.66	$869.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $420.13 / $822.23	Professional		$308.30	$420.13	$822.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $431.53 / $2,877.00 / $4,933.00	Facility		$431.53	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $431.53 / $503.07 / $607.86	Professional		$431.53	$503.07	$607.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $247.93 / $478.56	Professional		$64.69	$247.93	$478.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,708.75 / $6,740.00	Facility		$1,527.00	$3,708.75	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.95 / $526.55 / $689.18	Professional		$446.95	$526.55	$689.18