Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.56 / $4,112.00 / $4,933.00	Facility		$252.56	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.46 / $262.27 / $403.55	Professional		$178.46	$262.27	$403.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $366.96 / $572.46	Professional		$60.66	$366.96	$572.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.52 / $329.91 / $563.91	Professional		$216.52	$329.91	$563.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $298.14 / $4,112.00 / $4,933.00	Facility		$298.14	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $333.37 / $504.03	Professional		$262.27	$333.37	$504.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $301.87 / $459.48	Professional		$32.30	$301.87	$459.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.17 / $5,640.02 / $8,884.00	Facility		$2,365.17	$5,640.02	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $356.49 / $563.41	Professional		$297.89	$356.49	$563.41