Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.60 / $2,056.00 / $4,933.00	Facility		$621.60	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.78 / $546.28 / $621.60	Professional		$435.78	$546.28	$621.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,184.76 / $4,708.67 / $6,500.78	Facility		$3,184.76	$4,708.67	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $513.04 / $848.70	Professional		$140.22	$513.04	$848.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.79 / $570.90 / $1,206.47	Professional		$430.79	$570.90	$1,206.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $458.50 / $2,056.00 / $4,933.00	Facility		$458.50	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $524.98 / $778.26	Professional		$458.50	$524.98	$778.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $405.65 / $512.09 / $734.63	Professional		$405.65	$512.09	$734.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.55 / $629.01 / $867.70	Professional		$497.55	$629.01	$867.70