Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.90 / $4,933.00 / $4,933.00	Facility		$379.90	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.66 / $354.54 / $411.73	Professional		$254.66	$354.54	$411.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,368.03 / $1,594.49 / $2,160.27	Facility		$1,368.03	$1,594.49	$2,160.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $290.11 / $563.37	Professional		$83.46	$290.11	$563.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.93 / $412.51 / $484.77	Professional		$251.93	$412.51	$484.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $315.33 / $4,933.00 / $4,933.00	Facility		$315.33	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $302.49 / $323.80 / $505.71	Professional		$302.49	$323.80	$505.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $277.67 / $412.04	Professional		$221.65	$277.67	$412.04
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 $329.10 / $402.56 / $588.87	Professional		$329.10	$402.56	$588.87