Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.02 / $712.00 / $4,933.00	Facility		$255.02	$712.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.92 / $276.44 / $407.09	Professional		$195.92	$276.44	$407.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.38 / $432.04 / $582.41	Facility		$370.38	$432.04	$582.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $186.43 / $481.47	Professional		$50.71	$186.43	$481.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.65 / $279.88 / $573.12	Professional		$186.65	$279.88	$573.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $328.68 / $4,112.00 / $4,933.00	Facility		$328.68	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $328.68 / $473.70	Professional		$255.02	$328.68	$473.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $219.47 / $335.13	Professional		$32.13	$219.47	$335.13
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 $311.20 / $363.26 / $467.89	Professional		$311.20	$363.26	$467.89