Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.62 / $4,933.00 / $6,853.00	Facility		$523.62	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.81 / $523.62 / $573.88	Professional		$437.81	$523.62	$573.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,930.19 / $3,417.97 / $4,808.83	Facility		$2,930.19	$3,417.97	$4,808.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $571.67 / $1,200.53	Professional		$108.61	$571.67	$1,200.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.26 / $619.82 / $875.13	Professional		$346.26	$619.82	$875.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $687.22 / $4,933.00 / $6,853.00	Facility		$687.22	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $446.55 / $687.22 / $876.71	Professional		$446.55	$687.22	$876.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.36 / $384.68 / $560.40	Professional		$309.36	$384.68	$560.40
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 $469.21 / $801.48 / $1,037.70	Professional		$469.21	$801.48	$1,037.70