Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.76 / $4,112.00 / $4,933.00	Facility		$539.76	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.08 / $470.74 / $560.52	Professional		$383.08	$470.74	$560.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $677.65 / $1,113.29	Professional		$115.20	$677.65	$1,113.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $549.16 / $932.07	Professional		$321.52	$549.16	$932.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $431.59 / $4,112.00 / $4,933.00	Facility		$431.59	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $413.81 / $474.74 / $700.07	Professional		$413.81	$474.74	$700.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $269.66 / $481.38	Professional		$68.34	$269.66	$481.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.59 / $550.34 / $740.66	Professional		$431.59	$550.34	$740.66