Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.01 / $4,933.00 / $4,933.00	Facility		$666.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.24 / $666.01 / $690.68	Professional		$478.24	$666.01	$690.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,947.12 / $4,025.59 / $9,276.24	Facility		$2,947.12	$4,025.59	$9,276.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $705.84 / $826.43	Professional		$148.60	$705.84	$826.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.23 / $769.36 / $919.44	Professional		$450.23	$769.36	$919.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $569.25 / $4,933.00 / $4,933.00	Facility		$569.25	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $562.75 / $569.25 / $746.45	Professional		$562.75	$569.25	$746.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $470.48 / $697.57	Professional		$49.63	$470.48	$697.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $6,649.00 / $9,202.00	Facility		$3,054.00	$6,649.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.24 / $733.85 / $1,038.68	Professional		$609.24	$733.85	$1,038.68