Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.69 / $4,933.00 / $4,933.00	Facility		$618.69	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.06 / $618.69 / $641.60	Professional		$461.06	$618.69	$641.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,263.83 / $3,094.46 / $7,136.07	Facility		$2,263.83	$3,094.46	$7,136.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $441.51 / $755.53	Professional		$115.47	$441.51	$755.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.12 / $715.46 / $896.78	Professional		$412.12	$715.46	$896.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $504.52 / $4,933.00 / $4,933.00	Facility		$504.52	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $504.52 / $525.63 / $677.00	Professional		$504.52	$525.63	$677.00
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 $553.41 / $704.02 / $921.54	Professional		$553.41	$704.02	$921.54