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 $455.57 / $653.29 / $677.50	Professional		$455.57	$653.29	$677.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,384.19 / $3,256.66 / $7,504.38	Facility		$2,384.19	$3,256.66	$7,504.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.06 / $465.47 / $796.52	Professional		$136.06	$465.47	$796.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.11 / $728.55 / $884.27	Professional		$435.11	$728.55	$884.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $497.75 / $4,933.00 / $4,933.00	Facility		$497.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $497.75 / $554.05 / $677.50	Professional		$497.75	$554.05	$677.50
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 $587.54 / $695.00 / $1,011.35	Professional		$587.54	$695.00	$1,011.35