Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.28 / $4,797.00 / $4,933.00	Facility		$383.28	$4,797.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.90 / $383.28 / $397.48	Professional		$253.90	$383.28	$397.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.21 / $1,501.46 / $2,034.24	Facility		$1,288.21	$1,501.46	$2,034.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $440.73 / $572.10	Professional		$68.44	$440.73	$572.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.79 / $420.15 / $482.77	Professional		$256.79	$420.15	$482.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $299.87 / $4,797.00 / $4,933.00	Facility		$299.87	$4,797.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $299.87 / $318.74 / $397.48	Professional		$299.87	$318.74	$397.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $277.67 / $412.04	Professional		$221.86	$277.67	$412.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.91 / $394.73 / $528.26	Professional		$329.91	$394.73	$528.26