Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.16 / $4,112.00 / $6,336.76	Facility		$578.16	$4,112.00	$6,336.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.77 / $578.16 / $578.16	Professional		$396.77	$578.16	$578.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,007.10 / $2,339.34 / $3,169.43	Facility		$2,007.10	$2,339.34	$3,169.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $352.48 / $579.96	Professional		$92.18	$352.48	$579.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.65 / $501.82 / $1,396.64	Professional		$401.65	$501.82	$1,396.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $501.86 / $4,112.00 / $6,336.76	Facility		$501.86	$4,112.00	$6,336.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $396.77 / $501.86 / $587.16	Professional		$396.77	$501.86	$587.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $196.94	Professional		$30.00	$30.00	$196.94
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $387.17 / $516.23	Professional		$322.64	$387.17	$516.23