Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.65 / $2,877.00 / $4,933.00	Facility		$458.65	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.88 / $458.65 / $605.07	Professional		$357.88	$458.65	$605.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,963.33 / $2,304.37 / $3,122.05	Facility		$1,963.33	$2,304.37	$3,122.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $475.04 / $918.93	Professional		$98.31	$475.04	$918.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.92 / $498.30 / $857.93	Professional		$316.92	$498.30	$857.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $2,877.00 / $4,933.00	Facility		$516.66	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $427.54 / $516.66 / $738.04	Professional		$427.54	$516.66	$738.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $297.62 / $542.99	Professional		$33.81	$297.62	$542.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,202.00 / $7,355.00	Facility		$1,450.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.16 / $593.33 / $846.91	Professional		$486.16	$593.33	$846.91