Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.67 / $4,933.00 / $5,757.00	Facility		$398.67	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $398.67 / $414.00	Professional		$280.99	$398.67	$414.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,429.07 / $4,002.76 / $5,452.85	Facility		$3,429.07	$4,002.76	$5,452.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $348.47 / $627.24	Professional		$78.98	$348.47	$627.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.69 / $387.71 / $634.27	Professional		$223.69	$387.71	$634.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $326.60 / $4,933.00 / $5,757.00	Facility		$326.60	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $326.60 / $351.60 / $543.16	Professional		$326.60	$351.60	$543.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.15 / $311.90 / $442.00	Professional		$246.15	$311.90	$442.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.49 / $386.74 / $571.75	Professional		$339.49	$386.74	$571.75