Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.09 / $4,112.00 / $4,933.00	Facility		$639.09	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $639.09 / $662.76	Professional		$412.43	$639.09	$662.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,782.41 / $3,242.99 / $4,393.74	Facility		$2,782.41	$3,242.99	$4,393.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $455.34 / $764.97	Professional		$130.04	$455.34	$764.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.74 / $662.71 / $914.12	Professional		$386.74	$662.71	$914.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $487.89 / $4,112.00 / $4,933.00	Facility		$487.89	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $487.89 / $548.75 / $797.74	Professional		$487.89	$548.75	$797.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $427.55 / $642.18	Professional		$37.27	$427.55	$642.18
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 $556.97 / $665.77 / $942.31	Professional		$556.97	$665.77	$942.31