Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.20 / $2,877.00 / $4,933.00	Facility		$534.20	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $451.01 / $582.47	Professional		$369.83	$451.01	$582.47
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 $109.21 / $642.39 / $1,071.80	Professional		$109.21	$642.39	$1,071.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.68 / $511.67 / $894.38	Professional		$314.68	$511.67	$894.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $433.90 / $2,877.00 / $4,933.00	Facility		$433.90	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $420.29 / $480.33 / $728.29	Professional		$420.29	$480.33	$728.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $325.70 / $510.50	Professional		$65.66	$325.70	$510.50
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 $414.51 / $511.53 / $672.22	Professional		$414.51	$511.53	$672.22