Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.14 / $4,112.00 / $4,933.00	Facility		$416.14	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.16 / $432.14 / $660.11	Professional		$302.16	$432.14	$660.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.56 / $1,321.08 / $1,789.85	Facility		$1,125.56	$1,321.08	$1,789.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $426.06 / $795.30	Professional		$85.84	$426.06	$795.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.22 / $460.34 / $905.59	Professional		$284.22	$460.34	$905.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $491.07 / $4,112.00 / $4,933.00	Facility		$491.07	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $432.14 / $508.41 / $772.26	Professional		$432.14	$508.41	$772.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $360.36 / $610.06	Professional		$33.88	$360.36	$610.06
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 $467.48 / $574.66 / $777.58	Professional		$467.48	$574.66	$777.58