Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.91 / $4,933.00 / $4,933.00	Facility		$553.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.26 / $553.91 / $574.44	Professional		$340.26	$553.91	$574.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.30 / $2,474.78 / $3,352.93	Facility		$2,123.30	$2,474.78	$3,352.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $379.40 / $637.39	Professional		$103.20	$379.40	$637.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.77 / $610.54 / $662.70	Professional		$367.77	$610.54	$662.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $484.13 / $4,933.00 / $4,933.00	Facility		$484.13	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $470.85 / $484.13 / $644.55	Professional		$470.85	$484.13	$644.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $334.55 / $418.36 / $617.37	Professional		$334.55	$418.36	$617.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.27 / $577.49 / $802.57	Professional		$484.27	$577.49	$802.57