Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.29 / $4,933.00 / $4,933.00	Facility		$653.29	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.39 / $653.29 / $677.50	Professional		$473.39	$653.29	$677.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.27 / $3,166.61 / $7,296.88	Facility		$2,318.27	$3,166.61	$7,296.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $425.19 / $765.88	Professional		$121.74	$425.19	$765.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.11 / $734.45 / $921.41	Professional		$435.11	$734.45	$921.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $517.62 / $4,933.00 / $4,933.00	Facility		$517.62	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $517.62 / $554.05 / $708.21	Professional		$517.62	$554.05	$708.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.64 / $520.58 / $777.77	Professional		$416.64	$520.58	$777.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $6,327.00	Facility		$1,713.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.70 / $723.52 / $1,324.83	Professional		$560.70	$723.52	$1,324.83