Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.04 / $4,933.00 / $4,933.00	Facility		$529.04	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.32 / $529.04 / $3,228.67	Professional		$436.32	$529.04	$3,228.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,032.91 / $2,369.42 / $3,210.20	Facility		$2,032.91	$2,369.42	$3,210.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $145.47 / $665.60	Professional		$107.76	$145.47	$665.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.41 / $580.69 / $718.29	Professional		$288.41	$580.69	$718.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $436.35 / $4,933.00 / $4,933.00	Facility		$436.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $436.35 / $487.81 / $633.58	Professional		$436.35	$487.81	$633.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
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 $426.98 / $517.65 / $697.44	Professional		$426.98	$517.65	$697.44