Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.73 / $4,933.00 / $4,933.00	Facility		$437.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.95 / $437.73 / $1,264.44	Professional		$331.95	$437.73	$1,264.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,739.80 / $2,030.87 / $2,766.61	Facility		$1,739.80	$2,030.87	$2,766.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $355.10 / $584.28	Professional		$92.87	$355.10	$584.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $456.99 / $620.38	Professional		$326.63	$456.99	$620.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $376.05 / $4,933.00 / $4,933.00	Facility		$376.05	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $376.05 / $418.43 / $596.63	Professional		$376.05	$418.43	$596.63
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 $351.71 / $422.15 / $736.85	Professional		$351.71	$422.15	$736.85