Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.20 / $2,877.00 / $4,933.00	Facility		$380.20	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $386.16 / $543.61	Professional		$268.26	$386.16	$543.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,886.06 / $2,213.67 / $2,999.19	Facility		$1,886.06	$2,213.67	$2,999.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $301.63 / $511.25	Professional		$78.14	$301.63	$511.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $398.12 / $759.41	Professional		$256.32	$398.12	$759.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $409.10 / $2,877.00 / $4,933.00	Facility		$409.10	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $329.39 / $409.10 / $652.71	Professional		$329.39	$409.10	$652.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $265.70 / $476.42	Professional		$33.83	$265.70	$476.42
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 $389.45 / $469.93 / $646.82	Professional		$389.45	$469.93	$646.82