Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.89 / $2,877.00 / $4,933.00	Facility		$337.89	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.12 / $362.88 / $556.86	Professional		$244.12	$362.88	$556.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.80 / $2,182.86 / $2,957.43	Facility		$1,859.80	$2,182.86	$2,957.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $392.66 / $681.99	Professional		$73.08	$392.66	$681.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.61 / $408.54 / $722.89	Professional		$261.61	$408.54	$722.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $337.89 / $2,877.00 / $4,933.00	Facility		$337.89	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $401.85 / $654.78	Professional		$288.89	$401.85	$654.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $263.60 / $454.26	Professional		$33.77	$263.60	$454.26
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 $394.84 / $470.25 / $660.87	Professional		$394.84	$470.25	$660.87