Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.98 / $2,056.00 / $4,933.00	Facility		$538.98	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $431.08 / $559.71	Professional		$379.18	$431.08	$559.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $681.84 / $1,083.44	Professional		$123.38	$681.84	$1,083.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.62 / $481.27 / $899.09	Professional		$312.62	$481.27	$899.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $422.43 / $2,056.00 / $4,933.00	Facility		$422.43	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $422.43 / $464.67 / $677.89	Professional		$422.43	$464.67	$677.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $324.87 / $508.48	Professional		$65.66	$324.87	$508.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.25 / $496.54 / $766.00	Professional		$414.25	$496.54	$766.00