Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.40 / $2,056.00 / $4,933.00	Facility		$577.40	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.08 / $577.41 / $599.62	Professional		$398.08	$577.41	$599.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.44 / $298.14 / $424.76	Facility		$254.44	$298.14	$424.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $666.10 / $1,169.83	Professional		$119.19	$666.10	$1,169.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.42 / $477.95 / $961.62	Professional		$336.42	$477.95	$961.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $411.80 / $2,056.00 / $4,933.00	Facility		$411.80	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $411.80 / $476.19 / $683.76	Professional		$411.80	$476.19	$683.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $320.87 / $529.85	Professional		$33.96	$320.87	$529.85
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 $401.82 / $479.18 / $665.79	Professional		$401.82	$479.18	$665.79