Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $4,112.00 / $4,933.00	Facility		$495.00	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $495.00 / $514.04	Professional		$346.19	$495.00	$514.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,056.58 / $2,413.82 / $3,270.35	Facility		$2,056.58	$2,413.82	$3,270.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $629.25 / $1,009.50	Professional		$116.23	$629.25	$1,009.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $473.16 / $823.96	Professional		$289.20	$473.16	$823.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $394.13 / $4,112.00 / $4,933.00	Facility		$394.13	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $394.13 / $433.54 / $612.65	Professional		$394.13	$433.54	$612.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $292.06 / $487.56	Professional		$33.96	$292.06	$487.56
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 $378.28 / $457.84 / $642.55	Professional		$378.28	$457.84	$642.55