Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.67 / $722.53 / $4,933.00	Facility		$526.67	$722.53	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.94 / $534.82 / $722.53	Professional		$404.94	$534.82	$722.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,634.69 / $3,070.82 / $4,160.47	Facility		$2,634.69	$3,070.82	$4,160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $578.58 / $959.23	Professional		$103.53	$578.58	$959.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.83 / $462.85 / $883.79	Professional		$333.83	$462.85	$883.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $538.22 / $2,877.00 / $4,933.00	Facility		$538.22	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $523.89 / $546.19 / $736.76	Professional		$523.89	$546.19	$736.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $347.14 / $552.30	Professional		$67.94	$347.14	$552.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.05 / $610.11 / $844.88	Professional		$509.05	$610.11	$844.88