Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.37 / $2,877.00 / $4,933.00	Facility		$472.37	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $472.37 / $490.53	Professional		$332.92	$472.37	$490.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,896.18 / $2,225.56 / $3,015.28	Facility		$1,896.18	$2,225.56	$3,015.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $481.94 / $952.99	Professional		$100.98	$481.94	$952.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.37 / $432.23 / $788.44	Professional		$274.37	$432.23	$788.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $373.39 / $2,877.00 / $4,933.00	Facility		$373.39	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $371.89 / $410.72 / $594.79	Professional		$371.89	$410.72	$594.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $259.54 / $426.15	Professional		$33.96	$259.54	$426.15
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 $373.39 / $445.87 / $589.54	Professional		$373.39	$445.87	$589.54