Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.26 / $4,933.00 / $4,933.00	Facility		$498.26	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.23 / $498.26 / $516.71	Professional		$362.23	$498.26	$516.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,793.48 / $3,255.89 / $4,411.22	Facility		$2,793.48	$3,255.89	$4,411.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $369.61 / $602.37	Professional		$99.57	$369.61	$602.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.33 / $528.65 / $677.95	Professional		$340.33	$528.65	$677.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $422.63 / $4,933.00 / $4,933.00	Facility		$422.63	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $422.63 / $428.42 / $603.96	Professional		$422.63	$428.42	$603.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $333.89 / $494.69	Professional		$49.21	$333.89	$494.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.11 / $535.99 / $716.42	Professional		$433.11	$535.99	$716.42