Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.45 / $4,112.00 / $4,933.00	Facility		$523.45	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.49 / $523.45 / $542.84	Professional		$385.49	$523.45	$542.84
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 $102.84 / $581.64 / $872.47	Professional		$102.84	$581.64	$872.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.06 / $532.41 / $718.36	Professional		$308.06	$532.41	$718.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $478.10 / $4,112.00 / $4,933.00	Facility		$478.10	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $448.72 / $478.10 / $632.64	Professional		$448.72	$478.10	$632.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $340.70 / $522.60	Professional		$37.27	$340.70	$522.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,467.09 / $6,978.00 / $9,202.00	Facility		$2,467.09	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.66 / $591.29 / $757.92	Professional		$468.66	$591.29	$757.92