Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.89 / $4,112.00 / $4,933.00	Facility		$419.89	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.12 / $436.04 / $586.90	Professional		$318.12	$436.04	$586.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,664.16 / $4,300.64 / $5,826.70	Facility		$3,664.16	$4,300.64	$5,826.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $522.36 / $858.16	Professional		$87.95	$522.36	$858.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $445.06 / $802.59	Professional		$275.36	$445.06	$802.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $439.21 / $4,112.00 / $4,933.00	Facility		$439.21	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $419.89 / $457.85 / $686.78	Professional		$419.89	$457.85	$686.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $376.87 / $567.89	Professional		$30.82	$376.87	$567.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $510.80 / $725.42	Professional		$418.22	$510.80	$725.42