Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.11 / $620.00 / $4,933.00	Facility		$455.11	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $419.87 / $625.27	Professional		$306.06	$419.87	$625.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.38 / $772.03 / $1,045.97	Facility		$662.38	$772.03	$1,045.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $549.02 / $784.32	Professional		$88.89	$549.02	$784.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.60 / $356.76 / $639.19	Professional		$272.60	$356.76	$639.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $2,877.00 / $4,933.00	Facility		$382.03	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $351.39 / $455.11 / $621.80	Professional		$351.39	$455.11	$621.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $255.61 / $405.31	Professional		$33.76	$255.61	$405.31
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 $384.55 / $448.40 / $621.74	Professional		$384.55	$448.40	$621.74