Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.27 / $4,933.00 / $4,933.00	Facility		$449.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $449.27 / $468.86	Professional		$375.64	$449.27	$468.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,347.75 / $2,736.39 / $3,707.37	Facility		$2,347.75	$2,736.39	$3,707.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $510.13 / $1,091.19	Professional		$86.72	$510.13	$1,091.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.85 / $531.66 / $684.42	Professional		$296.85	$531.66	$684.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $449.27 / $4,933.00 / $4,933.00	Facility		$449.27	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $383.18 / $545.50 / $685.84	Professional		$383.18	$545.50	$685.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.79 / $349.15 / $508.70	Professional		$278.79	$349.15	$508.70
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 $404.13 / $648.54 / $835.54	Professional		$404.13	$648.54	$835.54