Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.35 / $4,112.00 / $4,933.00	Facility		$336.35	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $348.81 / $475.44	Professional		$258.83	$348.81	$475.44
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 $63.50 / $388.43 / $588.24	Professional		$63.50	$388.43	$588.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.76 / $427.31 / $621.42	Professional		$249.76	$427.31	$621.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $377.43 / $4,112.00 / $4,933.00	Facility		$377.43	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $377.43 / $499.21	Professional		$316.45	$377.43	$499.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $310.13 / $456.70	Professional		$237.47	$310.13	$456.70
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 $390.95 / $478.54 / $682.72	Professional		$390.95	$478.54	$682.72