Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $734.21 / $4,933.00	Facility		$464.00	$734.21	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.32 / $612.70 / $855.63	Professional		$440.32	$612.70	$855.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,510.05 / $2,925.55 / $3,963.65	Facility		$2,510.05	$2,925.55	$3,963.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $529.82 / $671.89	Professional		$101.41	$529.82	$671.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.19 / $652.79 / $2,227.17	Professional		$444.19	$652.79	$2,227.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $612.70 / $2,056.00 / $4,933.00	Facility		$612.70	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $543.19 / $650.55 / $855.63	Professional		$543.19	$650.55	$855.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $456.99 / $713.50	Professional		$68.25	$456.99	$713.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.26 / $739.78 / $1,037.95	Professional		$601.26	$739.78	$1,037.95