Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $4,933.00 / $4,933.00	Facility		$61.72	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $61.72 / $61.72	Professional		$13.60	$61.72	$61.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,380.63 / $4,380.63 / $6,570.96	Facility		$4,380.63	$4,380.63	$6,570.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,380.63 / $6,833.80 / $8,870.79	Professional		$4,380.63	$6,833.80	$8,870.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $96.43 / $109.58	Professional		$96.43	$96.43	$109.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $4,933.00 / $4,933.00	Facility		$58.70	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $61.72 / $119.97	Professional		$58.70	$61.72	$119.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $43.23 / $99.60	Professional		$30.98	$43.23	$99.60