Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.40 / $4,112.00 / $4,933.00	Facility		$575.40	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.82 / $492.37 / $738.56	Professional		$404.82	$492.37	$738.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $692.69 / $1,155.73	Professional		$122.46	$692.69	$1,155.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.39 / $545.12 / $965.35	Professional		$334.39	$545.12	$965.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $463.64 / $4,112.00 / $4,933.00	Facility		$463.64	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $430.47 / $516.55 / $752.88	Professional		$430.47	$516.55	$752.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $321.19 / $529.87	Professional		$68.50	$321.19	$529.87
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 $448.86 / $550.44 / $732.66	Professional		$448.86	$550.44	$732.66