Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.12 / $4,112.00 / $4,933.00	Facility		$519.12	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.63 / $519.12 / $539.09	Professional		$365.63	$519.12	$539.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,743.56 / $2,046.42 / $2,772.58	Facility		$1,743.56	$2,046.42	$2,772.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $628.45 / $989.81	Professional		$106.83	$628.45	$989.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.72 / $468.95 / $866.84	Professional		$301.72	$468.95	$866.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $397.18 / $4,112.00 / $4,933.00	Facility		$397.18	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $397.18 / $448.50 / $655.30	Professional		$397.18	$448.50	$655.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $292.06 / $487.56	Professional		$33.96	$292.06	$487.56
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 $378.98 / $464.78 / $629.64	Professional		$378.98	$464.78	$629.64