Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.97 / $4,933.00 / $4,933.00	Facility		$640.97	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.92 / $640.97 / $664.71	Professional		$418.92	$640.97	$664.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.16 / $3,017.84 / $4,245.87	Facility		$2,587.16	$3,017.84	$4,245.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $608.40 / $1,135.69	Professional		$127.48	$608.40	$1,135.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.50 / $601.34 / $868.14	Professional		$388.50	$601.34	$868.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $536.10 / $4,933.00 / $4,933.00	Facility		$536.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $536.10 / $549.40 / $724.57	Professional		$536.10	$549.40	$724.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $456.76 / $677.17	Professional		$49.83	$456.76	$677.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.08 / $657.36 / $897.82	Professional		$534.08	$657.36	$897.82