Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.43 / $2,056.00 / $4,933.00	Facility		$397.43	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.87 / $397.43 / $586.86	Professional		$291.87	$397.43	$586.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.86 / $535.16 / $709.63	Facility		$456.86	$535.16	$709.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $473.08 / $780.59	Professional		$86.05	$473.08	$780.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $426.32 / $904.42	Professional		$294.52	$426.32	$904.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $387.76 / $2,056.00 / $4,933.00	Facility		$387.76	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $381.22 / $434.29 / $651.78	Professional		$381.22	$434.29	$651.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $406.90 / $612.29	Professional		$32.30	$406.90	$612.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,574.00 / $7,355.00	Facility		$1,450.00	$5,574.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.79 / $540.14 / $731.12	Professional		$416.79	$540.14	$731.12