Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.03 / $4,933.00 / $4,933.00	Facility		$666.03	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.60 / $666.03 / $690.69	Professional		$484.60	$666.03	$690.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,457.52 / $2,864.32 / $3,880.70	Facility		$2,457.52	$2,864.32	$3,880.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $479.08 / $780.79	Professional		$146.01	$479.08	$780.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.66 / $711.01 / $898.68	Professional		$442.66	$711.01	$898.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $572.73 / $4,933.00 / $4,933.00	Facility		$572.73	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $565.39 / $572.73 / $828.87	Professional		$565.39	$572.73	$828.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $415.43 / $519.54 / $777.77	Professional		$415.43	$519.54	$777.77
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 $560.72 / $697.65 / $920.29	Professional		$560.72	$697.65	$920.29