Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $2,056.00 / $4,933.00	Facility		$382.81	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.87 / $382.81 / $395.41	Professional		$266.87	$382.81	$395.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.16 / $590.20 / $1,418.42	Facility		$411.16	$590.20	$1,418.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $555.07 / $731.73	Professional		$111.84	$555.07	$731.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.20 / $549.30 / $634.51	Professional		$268.20	$549.30	$634.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,056.00 / $4,933.00	Facility		$2,056.00	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $296.38 / $382.81 / $584.33	Professional		$296.38	$382.81	$584.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.44 / $534.80 / $726.25	Professional		$385.44	$534.80	$726.25