Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.24 / $4,933.00 / $4,933.00	Facility		$631.24	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.99 / $631.24 / $654.62	Professional		$457.99	$631.24	$654.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.96 / $2,766.94 / $3,748.76	Facility		$2,373.96	$2,766.94	$3,748.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $752.56 / $1,173.99	Professional		$119.62	$752.56	$1,173.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.29 / $723.32 / $853.88	Professional		$424.29	$723.32	$853.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $557.04 / $4,933.00 / $4,933.00	Facility		$557.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $541.52 / $557.04 / $826.57	Professional		$541.52	$557.04	$826.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $435.61 / $652.92	Professional		$49.63	$435.61	$652.92
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 $557.07 / $677.55 / $913.47	Professional		$557.07	$677.55	$913.47