Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.29 / $4,112.00 / $4,933.00	Facility		$507.29	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.75 / $507.29 / $526.07	Professional		$346.75	$507.29	$526.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,434.41 / $55,286.47 / $74,904.38	Facility		$47,434.41	$55,286.47	$74,904.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.72 / $523.71 / $589.59	Professional		$93.72	$523.71	$589.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.18 / $574.15 / $684.59	Professional		$334.18	$574.15	$684.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $406.00 / $4,112.00 / $4,933.00	Facility		$406.00	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $420.66 / $545.03	Professional		$406.00	$420.66	$545.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $334.11 / $491.34	Professional		$49.63	$334.11	$491.34
United Facility/Professional Facility Modifier Low / Median / High Price $10,555.00 / $25,069.00 / $55,239.00	Facility		$10,555.00	$25,069.00	$55,239.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.38 / $526.10 / $744.63	Professional		$442.38	$526.10	$744.63