Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.41 / $708.62 / $4,933.00	Facility		$564.41	$708.62	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.11 / $564.41 / $734.86	Professional		$408.11	$564.41	$734.86
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 $110.56 / $617.85 / $975.55	Professional		$110.56	$617.85	$975.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.42 / $513.77 / $790.82	Professional		$350.42	$513.77	$790.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $547.11 / $564.41 / $6,906.00	Facility		$547.11	$564.41	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $585.32 / $764.41	Professional		$514.91	$585.32	$764.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $351.61 / $605.70	Professional		$67.99	$351.61	$605.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,048.00 / $8,339.00	Facility		$2,248.00	$5,048.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.48 / $638.73 / $854.09	Professional		$545.48	$638.73	$854.09