Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.45 / $4,933.00 / $4,933.00	Facility		$626.45	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.33 / $626.45 / $649.65	Professional		$454.33	$626.45	$649.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.17 / $3,130.48 / $7,219.13	Facility		$2,290.17	$3,130.48	$7,219.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $447.34 / $765.49	Professional		$121.68	$447.34	$765.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.03 / $704.80 / $884.14	Professional		$417.03	$704.80	$884.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $496.80 / $4,933.00 / $4,933.00	Facility		$496.80	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $496.80 / $532.67 / $693.70	Professional		$496.80	$532.67	$693.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $387.09 / $487.56 / $728.94	Professional		$387.09	$487.56	$728.94
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 $519.91 / $672.74 / $932.91	Professional		$519.91	$672.74	$932.91