Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.72 / $2,877.00 / $4,933.00	Facility		$334.72	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $334.72 / $455.51	Professional		$257.45	$334.72	$455.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,469.31 / $2,172.38 / $2,999.19	Facility		$1,469.31	$2,172.38	$2,999.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $249.30 / $443.67	Professional		$67.81	$249.30	$443.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $376.32 / $758.71	Professional		$264.64	$376.32	$758.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $365.99 / $2,877.00 / $4,933.00	Facility		$365.99	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $285.23 / $365.99 / $562.76	Professional		$285.23	$365.99	$562.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $282.91 / $427.18	Professional		$30.56	$282.91	$427.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.84 / $471.25 / $600.53	Professional		$368.84	$471.25	$600.53