Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.92 / $2,877.00 / $4,933.00	Facility		$371.92	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $386.23 / $571.27	Professional		$274.67	$386.23	$571.27
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 $85.06 / $470.07 / $725.26	Professional		$85.06	$470.07	$725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $446.32 / $781.35	Professional		$285.49	$446.32	$781.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $430.93 / $2,877.00 / $4,933.00	Facility		$430.93	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $342.94 / $430.93 / $608.24	Professional		$342.94	$430.93	$608.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $293.20 / $475.10	Professional		$33.76	$293.20	$475.10
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 $430.93 / $513.29 / $734.40	Professional		$430.93	$513.29	$734.40