Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.21 / $2,877.00 / $4,933.00	Facility		$840.21	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.50 / $780.63 / $840.21	Professional		$605.50	$780.63	$840.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $623.10 / $623.10	Facility		$199.39	$623.10	$623.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.49 / $660.49 / $1,108.92	Professional		$169.49	$660.49	$1,108.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.91 / $763.48 / $1,558.17	Professional		$578.91	$763.48	$1,558.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $628.84 / $2,877.00 / $4,933.00	Facility		$628.84	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $628.84 / $704.51 / $1,025.14	Professional		$628.84	$704.51	$1,025.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $483.79 / $786.03	Professional		$68.44	$483.79	$786.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,986.00 / $7,800.00 / $10,274.00	Facility		$3,986.00	$7,800.00	$10,274.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $824.94 / $1,086.74	Professional		$662.45	$824.94	$1,086.74