Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.11 / $4,112.00 / $4,933.00	Facility		$613.11	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.75 / $613.11 / $636.69	Professional		$437.75	$613.11	$636.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,050.14 / $5,895.03 / $8,030.65	Facility		$5,050.14	$5,895.03	$8,030.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $440.40 / $732.83	Professional		$124.58	$440.40	$732.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.77 / $674.53 / $947.61	Professional		$425.77	$674.53	$947.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $527.91 / $4,112.00 / $4,933.00	Facility		$527.91	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $543.91 / $861.54	Professional		$527.91	$543.91	$861.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $385.18 / $485.17 / $698.34	Professional		$385.18	$485.17	$698.34
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 $539.20 / $612.70 / $831.40	Professional		$539.20	$612.70	$831.40