Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.90 / $2,056.00 / $4,933.00	Facility		$525.90	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.34 / $525.90 / $546.13	Professional		$370.34	$525.90	$546.13
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 $112.69 / $637.41 / $1,099.55	Professional		$112.69	$637.41	$1,099.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.75 / $454.23 / $875.00	Professional		$305.75	$454.23	$875.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $400.93 / $2,056.00 / $4,933.00	Facility		$400.93	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $400.93 / $454.48 / $654.25	Professional		$400.93	$454.48	$654.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $301.62 / $504.15	Professional		$33.96	$301.62	$504.15
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.09 / $455.96 / $614.87	Professional		$396.09	$455.96	$614.87