Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.41 / $2,056.00 / $4,933.00	Facility		$544.41	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.45 / $512.58 / $620.77	Professional		$381.45	$512.58	$620.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.15 / $1,202.05 / $1,628.58	Facility		$1,024.15	$1,202.05	$1,628.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $630.14 / $1,074.56	Professional		$112.76	$630.14	$1,074.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.70 / $495.99 / $909.79	Professional		$350.70	$495.99	$909.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $451.74 / $2,056.00 / $4,933.00	Facility		$451.74	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $450.10 / $528.53 / $706.10	Professional		$450.10	$528.53	$706.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $332.91 / $564.68	Professional		$33.96	$332.91	$564.68
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.61 / $520.39 / $676.14	Professional		$437.61	$520.39	$676.14