Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.69 / $2,877.00 / $4,933.00	Facility		$357.69	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.62 / $357.69 / $467.25	Professional		$274.62	$357.69	$467.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,886.06 / $2,201.60 / $2,999.19	Facility		$1,886.06	$2,201.60	$2,999.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $268.60 / $451.24	Professional		$73.06	$268.60	$451.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.61 / $391.05 / $580.73	Professional		$261.61	$391.05	$580.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $2,877.00 / $4,933.00	Facility		$384.85	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $345.22 / $384.85 / $616.47	Professional		$345.22	$384.85	$616.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $313.20 / $466.93	Professional		$32.28	$313.20	$466.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.28 / $509.39 / $635.03	Professional		$412.28	$509.39	$635.03