Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.43 / $4,112.00 / $4,933.00	Facility		$333.43	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $359.93 / $542.12	Professional		$250.52	$359.93	$542.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.33 / $482.48 / $646.75	Facility		$326.33	$482.48	$646.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $420.91 / $668.83	Professional		$76.17	$420.91	$668.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $401.52 / $840.60	Professional		$266.27	$401.52	$840.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $380.71 / $4,112.00 / $4,933.00	Facility		$380.71	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $333.43 / $411.30 / $631.41	Professional		$333.43	$411.30	$631.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $349.37 / $534.14	Professional		$32.24	$349.37	$534.14
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 $394.01 / $500.20 / $666.93	Professional		$394.01	$500.20	$666.93