Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.63 / $4,112.00 / $4,933.00	Facility		$438.63	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.92 / $455.50 / $651.38	Professional		$335.92	$455.50	$651.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,199.62 / $7,276.53 / $9,858.54	Facility		$6,199.62	$7,276.53	$9,858.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $500.52 / $879.05	Professional		$93.14	$500.52	$879.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.66 / $520.10 / $899.12	Professional		$336.66	$520.10	$899.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $511.24 / $4,112.00 / $4,933.00	Facility		$511.24	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $438.63 / $511.24 / $849.35	Professional		$438.63	$511.24	$849.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $325.32 / $561.71	Professional		$68.01	$325.32	$561.71
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 $532.67 / $625.65 / $842.70	Professional		$532.67	$625.65	$842.70