Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.31 / $2,877.00 / $4,933.00	Facility		$460.31	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $460.31 / $659.37	Professional		$322.64	$460.31	$659.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.54 / $627.54 / $841.20	Facility		$535.54	$627.54	$841.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $462.19 / $899.17	Professional		$102.86	$462.19	$899.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.67 / $487.40 / $1,004.27	Professional		$313.67	$487.40	$1,004.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $424.77 / $2,877.00 / $4,933.00	Facility		$424.77	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $424.77 / $486.64 / $719.66	Professional		$424.77	$486.64	$719.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $445.88 / $670.21	Professional		$32.30	$445.88	$670.21
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 $463.14 / $595.82 / $887.77	Professional		$463.14	$595.82	$887.77