Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.65 / $4,933.00 / $4,933.00	Facility		$680.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.73 / $680.65 / $705.86	Professional		$503.73	$680.65	$705.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,477.71 / $3,386.81 / $7,810.25	Facility		$2,477.71	$3,386.81	$7,810.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $708.21 / $829.19	Professional		$133.07	$708.21	$829.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.52 / $780.81 / $978.35	Professional		$452.52	$780.81	$978.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $551.20 / $4,933.00 / $4,933.00	Facility		$551.20	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $536.16 / $576.79 / $766.79	Professional		$536.16	$576.79	$766.79
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 $1,906.00 / $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 $550.41 / $759.87 / $1,077.70	Professional		$550.41	$759.87	$1,077.70