Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.14 / $4,933.00 / $4,933.00	Facility		$510.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.69 / $503.64 / $529.76	Professional		$357.69	$503.64	$529.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,998.73 / $2,345.92 / $3,178.35	Facility		$1,998.73	$2,345.92	$3,178.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $606.54 / $1,011.99	Professional		$115.24	$606.54	$1,011.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $469.45 / $845.32	Professional		$297.19	$469.45	$845.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $404.82 / $510.14 / $6,906.00	Facility		$404.82	$510.14	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $397.96 / $449.84 / $661.65	Professional		$397.96	$449.84	$661.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $326.63 / $512.32	Professional		$65.56	$326.63	$512.32
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 $404.82 / $482.09 / $646.34	Professional		$404.82	$482.09	$646.34