Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $620.00 / $4,933.00	Facility		$305.94	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.78 / $324.97 / $494.91	Professional		$213.78	$324.97	$494.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.27 / $458.74 / $618.41	Facility		$393.27	$458.74	$618.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $331.16 / $556.87	Professional		$59.26	$331.16	$556.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $325.02 / $673.09	Professional		$204.30	$325.02	$673.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $371.68 / $2,877.00 / $4,933.00	Facility		$371.68	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $305.94 / $371.68 / $585.29	Professional		$305.94	$371.68	$585.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $294.16 / $433.03	Professional		$30.79	$294.16	$433.03
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 $369.49 / $426.17 / $579.55	Professional		$369.49	$426.17	$579.55