Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.74 / $2,877.00 / $4,933.00	Facility		$289.74	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $291.00 / $384.86	Professional		$216.49	$291.00	$384.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.58 / $2,258.53 / $3,027.50	Facility		$1,527.58	$2,258.53	$3,027.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $360.27 / $540.39	Professional		$60.66	$360.27	$540.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.59 / $319.39 / $622.42	Professional		$227.59	$319.39	$622.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $304.12 / $3,183.99 / $4,933.00	Facility		$304.12	$3,183.99	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.13 / $304.12 / $477.36	Professional		$245.13	$304.12	$477.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $221.82 / $337.33	Professional		$30.56	$221.82	$337.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $375.49 / $497.17	Professional		$279.66	$375.49	$497.17