Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.55 / $2,877.00 / $4,933.00	Facility		$439.55	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.49 / $439.55 / $671.12	Professional		$325.49	$439.55	$671.12
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 $104.48 / $417.90 / $838.43	Professional		$104.48	$417.90	$838.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.04 / $511.91 / $1,076.17	Professional		$351.04	$511.91	$1,076.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $476.80 / $2,877.00 / $4,933.00	Facility		$476.80	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $391.38 / $484.28 / $703.72	Professional		$391.38	$484.28	$703.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $456.57 / $708.03	Professional		$30.79	$456.57	$708.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,036.00	Facility		$1,050.00	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.67 / $616.01 / $829.86	Professional		$491.67	$616.01	$829.86