Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.98 / $2,877.00 / $4,933.00	Facility		$381.98	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $381.98 / $503.18	Professional		$291.13	$381.98	$503.18
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 $81.27 / $319.52 / $491.59	Professional		$81.27	$319.52	$491.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.05 / $410.16 / $618.20	Professional		$281.05	$410.16	$618.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $406.47 / $2,877.00 / $4,933.00	Facility		$406.47	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $369.40 / $406.47 / $632.67	Professional		$369.40	$406.47	$632.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $318.49 / $490.18	Professional		$32.28	$318.49	$490.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,202.00 / $7,355.00	Facility		$2,248.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.80 / $526.37 / $843.66	Professional		$439.80	$526.37	$843.66