Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.15 / $705.44 / $4,933.00	Facility		$618.15	$705.44	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.52 / $618.15 / $705.44	Professional		$448.52	$618.15	$705.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.73 / $508.05 / $688.32	Facility		$437.73	$508.05	$688.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $468.63 / $1,071.16	Professional		$121.40	$468.63	$1,071.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.59 / $486.33 / $865.25	Professional		$370.59	$486.33	$865.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $496.49 / $2,056.00 / $4,933.00	Facility		$496.49	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $496.49 / $618.15 / $705.44	Professional		$496.49	$618.15	$705.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $328.83 / $572.14	Professional		$68.01	$328.83	$572.14
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 $515.86 / $609.22 / $803.70	Professional		$515.86	$609.22	$803.70