Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.99 / $2,877.00 / $4,933.00	Facility		$611.99	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.97 / $611.99 / $634.65	Professional		$452.97	$611.99	$634.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,576.31 / $3,002.78 / $4,068.29	Facility		$2,576.31	$3,002.78	$4,068.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $644.79 / $967.21	Professional		$115.39	$644.79	$967.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.38 / $583.85 / $843.51	Professional		$359.38	$583.85	$843.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $582.46 / $2,877.00 / $4,933.00	Facility		$582.46	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $509.98 / $582.46 / $786.32	Professional		$509.98	$582.46	$786.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $414.64 / $618.07	Professional		$37.27	$414.64	$618.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,165.51 / $10,165.85	Facility		$3,296.00	$7,165.51	$10,165.85
United Facility/Professional Professional Modifier Low / Median / High Price $520.49 / $681.58 / $886.71	Professional		$520.49	$681.58	$886.71