Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.41 / $2,056.00 / $4,933.00	Facility		$568.41	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.89 / $512.35 / $595.32	Professional		$378.89	$512.35	$595.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,469.31 / $2,172.38 / $2,912.02	Facility		$1,469.31	$2,172.38	$2,912.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $473.60 / $735.74	Professional		$115.81	$473.60	$735.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.43 / $509.89 / $1,062.69	Professional		$368.43	$509.89	$1,062.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $420.49 / $2,056.00 / $4,933.00	Facility		$420.49	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $420.49 / $481.46 / $693.86	Professional		$420.49	$481.46	$693.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $387.57 / $600.18	Professional		$32.24	$387.57	$600.18
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 $456.24 / $559.16 / $741.72	Professional		$456.24	$559.16	$741.72