Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.94 / $4,933.00 / $11,198.43	Facility		$328.94	$4,933.00	$11,198.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.08 / $316.77 / $499.29	Professional		$223.08	$316.77	$499.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,393.68 / $6,296.05 / $8,576.95	Facility		$5,393.68	$6,296.05	$8,576.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $301.43 / $412.66	Professional		$65.59	$301.43	$412.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.55 / $310.24 / $505.02	Professional		$177.55	$310.24	$505.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $259.67 / $4,933.00 / $11,198.43	Facility		$259.67	$4,933.00	$11,198.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $256.51 / $305.83 / $514.07	Professional		$256.51	$305.83	$514.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.36 / $276.43 / $398.03	Professional		$218.36	$276.43	$398.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.05 / $312.18 / $419.32	Professional		$269.05	$312.18	$419.32