Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.25 / $4,112.00 / $4,933.00	Facility		$599.25	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.24 / $554.15 / $621.45	Professional		$446.24	$554.15	$621.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,026.70 / $19,173.27 / $44,215.08	Facility		$14,026.70	$19,173.27	$44,215.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $149.33 / $906.21	Professional		$118.68	$149.33	$906.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.37 / $697.93 / $865.83	Professional		$406.37	$697.93	$865.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $490.11 / $4,112.00 / $4,933.00	Facility		$490.11	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $483.68 / $512.79 / $654.62	Professional		$483.68	$512.79	$654.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $422.12 / $627.93	Professional		$49.49	$422.12	$627.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,174.00 / $12,544.00 / $55,239.00	Facility		$7,174.00	$12,544.00	$55,239.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.22 / $680.66 / $886.70	Professional		$513.22	$680.66	$886.70