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 / $586.10	Professional		$364.91	$503.07	$586.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,932.50 / $2,252.40 / $3,051.64	Facility		$1,932.50	$2,252.40	$3,051.64
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 / $406.43 / $798.86	Professional		$308.30	$406.43	$798.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $411.62 / $2,877.00 / $4,933.00	Facility		$411.62	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $411.62 / $503.07 / $611.73	Professional		$411.62	$503.07	$611.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $287.07 / $470.24	Professional		$67.94	$287.07	$470.24
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 $436.88 / $504.24 / $666.85	Professional		$436.88	$504.24	$666.85