Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.11 / $750.61 / $4,933.00	Facility		$270.11	$750.61	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.50 / $305.14 / $750.61	Professional		$198.50	$305.14	$750.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,717.13 / $2,015.40 / $2,730.55	Facility		$1,717.13	$2,015.40	$2,730.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $206.86 / $362.51	Professional		$55.72	$206.86	$362.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $405.62 / $833.22	Professional		$201.85	$405.62	$833.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $270.11 / $722.81 / $4,933.00	Facility		$270.11	$722.81	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $503.39 / $762.81	Professional		$280.50	$503.39	$762.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $478.85 / $711.94	Professional		$32.34	$478.85	$711.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.57 / $517.87 / $710.19	Professional		$420.57	$517.87	$710.19