Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.99 / $2,877.00 / $4,933.00	Facility		$448.99	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.57 / $448.99 / $530.53	Professional		$316.57	$448.99	$530.53
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 $96.89 / $515.66 / $895.62	Professional		$96.89	$515.66	$895.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.89 / $408.27 / $750.13	Professional		$260.89	$408.27	$750.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $350.86 / $2,877.00 / $4,933.00	Facility		$350.86	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $350.86 / $392.96 / $575.42	Professional		$350.86	$392.96	$575.42
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 $358.50 / $415.44 / $547.70	Professional		$358.50	$415.44	$547.70