Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.15 / $4,112.00 / $4,933.00	Facility		$630.15	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $588.12 / $630.15	Professional		$460.86	$588.12	$630.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,184.76 / $4,708.67 / $6,500.78	Facility		$3,184.76	$4,708.67	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $487.59 / $891.59	Professional		$131.36	$487.59	$891.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.64 / $602.42 / $1,220.43	Professional		$457.64	$602.42	$1,220.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $530.66 / $4,112.00 / $4,933.00	Facility		$530.66	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $489.94 / $552.16 / $789.95	Professional		$489.94	$552.16	$789.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $429.75 / $647.03	Professional		$65.50	$429.75	$647.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,351.00	Facility		$3,500.00	$8,702.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.64 / $663.60 / $886.17	Professional		$514.64	$663.60	$886.17