Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.00 / $4,112.00 / $4,933.00	Facility		$529.00	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $529.00 / $548.59	Professional		$363.00	$529.00	$548.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,272.79 / $4,473.62 / $10,316.52	Facility		$3,272.79	$4,473.62	$10,316.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $136.00 / $659.14	Professional		$100.74	$136.00	$659.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $612.64 / $704.62	Professional		$359.44	$612.64	$704.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $4,112.00 / $4,933.00	Facility		$398.11	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $451.89 / $578.76	Professional		$398.11	$451.89	$578.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $357.92 / $528.92	Professional		$49.63	$357.92	$528.92
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 $460.11 / $572.52 / $761.71	Professional		$460.11	$572.52	$761.71