Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.91 / $620.16 / $4,933.00	Facility		$525.91	$620.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.24 / $525.91 / $620.16	Professional		$382.24	$525.91	$620.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.32 / $1,864.06 / $2,525.51	Facility		$1,599.32	$1,864.06	$2,525.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $610.53 / $961.59	Professional		$98.60	$610.53	$961.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $434.42 / $783.28	Professional		$330.77	$434.42	$783.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $462.85 / $2,877.00 / $4,933.00	Facility		$462.85	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $462.85 / $525.91 / $624.84	Professional		$462.85	$525.91	$624.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $294.16 / $506.69	Professional		$33.76	$294.16	$506.69
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 $463.60 / $559.41 / $733.19	Professional		$463.60	$559.41	$733.19