Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.28 / $2,877.00 / $4,933.00	Facility		$435.28	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.48 / $435.28 / $452.02	Professional		$306.48	$435.28	$452.02
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 $89.74 / $554.25 / $847.23	Professional		$89.74	$554.25	$847.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.48 / $380.12 / $728.50	Professional		$253.48	$380.12	$728.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $335.19 / $2,877.00 / $4,933.00	Facility		$335.19	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $335.19 / $375.93 / $549.04	Professional		$335.19	$375.93	$549.04
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 $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.17 / $391.47 / $525.71	Professional		$331.17	$391.47	$525.71