Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.24 / $4,933.00 / $4,933.00	Facility		$356.24	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $356.24 / $719.28	Professional		$270.20	$356.24	$719.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,432.90 / $1,672.62 / $2,278.57	Facility		$1,432.90	$1,672.62	$2,278.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $281.22 / $472.45	Professional		$76.48	$281.22	$472.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.86 / $383.54 / $503.61	Professional		$265.86	$383.54	$503.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $309.72 / $4,933.00 / $4,933.00	Facility		$309.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $309.72 / $345.63 / $484.26	Professional		$309.72	$345.63	$484.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.94 / $347.59 / $479.49	Professional		$288.94	$347.59	$479.49