Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.15 / $4,933.00 / $4,933.00	Facility		$576.15	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.03 / $537.11 / $598.30	Professional		$237.03	$537.11	$598.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,968.13 / $5,799.31 / $7,900.25	Facility		$4,968.13	$5,799.31	$7,900.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $435.03 / $769.67	Professional		$133.85	$435.03	$769.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.13 / $455.64 / $916.72	Professional		$298.13	$455.64	$916.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $268.68 / $4,933.00 / $4,933.00	Facility		$268.68	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $268.68 / $352.32 / $782.88	Professional		$268.68	$352.32	$782.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.95 / $447.91 / $641.77	Professional		$357.95	$447.91	$641.77
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 $277.39 / $354.68 / $682.98	Professional		$277.39	$354.68	$682.98