Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.07 / $4,933.00 / $4,933.00	Facility		$361.07	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.18 / $361.07 / $422.73	Professional		$267.18	$361.07	$422.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.80 / $1,808.16 / $4,169.75	Facility		$1,322.80	$1,808.16	$4,169.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $333.61 / $439.80	Professional		$67.22	$333.61	$439.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.41 / $414.02 / $518.59	Professional		$240.41	$414.02	$518.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $292.41 / $4,933.00 / $4,933.00	Facility		$292.41	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $292.41 / $305.73 / $455.68	Professional		$292.41	$305.73	$455.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $277.67 / $412.04	Professional		$221.86	$277.67	$412.04
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 $322.58 / $392.66 / $532.86	Professional		$322.58	$392.66	$532.86