Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.84 / $4,933.00 / $4,933.00	Facility		$428.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.89 / $407.74 / $445.33	Professional		$294.89	$407.74	$445.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,607.42 / $1,876.35 / $2,556.10	Facility		$1,607.42	$1,876.35	$2,556.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $517.13 / $775.69	Professional		$98.50	$517.13	$775.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $425.97 / $709.93	Professional		$313.30	$425.97	$709.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $366.15 / $4,933.00 / $4,933.00	Facility		$366.15	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $334.40 / $373.77 / $575.04	Professional		$334.40	$373.77	$575.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.80 / $346.08 / $493.43	Professional		$274.80	$346.08	$493.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.61 / $437.02 / $657.76	Professional		$385.61	$437.02	$657.76