Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.85 / $4,933.00 / $4,933.00	Facility		$561.85	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.42 / $561.85 / $582.66	Professional		$407.42	$561.85	$582.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,049.96 / $2,802.11 / $6,461.89	Facility		$2,049.96	$2,802.11	$6,461.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $586.15 / $832.95	Professional		$123.40	$586.15	$832.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.46 / $632.30 / $793.30	Professional		$373.46	$632.30	$793.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $445.51 / $4,933.00 / $4,933.00	Facility		$445.51	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $445.51 / $474.77 / $584.19	Professional		$445.51	$474.77	$584.19
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 $488.69 / $625.55 / $819.54	Professional		$488.69	$625.55	$819.54