Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.80 / $2,056.00 / $4,933.00	Facility		$438.80	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $380.22 / $570.33	Professional		$307.07	$380.22	$570.33
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 $90.33 / $531.34 / $916.56	Professional		$90.33	$531.34	$916.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $386.44 / $733.40	Professional		$255.02	$386.44	$733.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $339.95 / $2,056.00 / $4,933.00	Facility		$339.95	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $333.60 / $378.49 / $560.98	Professional		$333.60	$378.49	$560.98
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 $337.54 / $398.84 / $540.84	Professional		$337.54	$398.84	$540.84