Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.29 / $674.19 / $4,933.00	Facility		$488.29	$674.19	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.29 / $507.07 / $674.19	Professional		$397.29	$507.07	$674.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.07 / $4,772.00 / $6,500.78	Facility		$4,088.07	$4,772.00	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.15 / $630.07 / $1,148.78	Professional		$100.15	$630.07	$1,148.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.67 / $552.19 / $843.38	Professional		$360.67	$552.19	$843.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $580.54 / $4,933.00 / $4,933.00	Facility		$580.54	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $488.29 / $580.54 / $858.43	Professional		$488.29	$580.54	$858.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $435.62 / $665.36	Professional		$65.66	$435.62	$665.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.39 / $686.55 / $937.67	Professional		$578.39	$686.55	$937.67