Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.15 / $2,056.00 / $4,933.00	Facility		$455.15	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.01 / $462.37 / $688.32	Professional		$342.01	$462.37	$688.32
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 $97.25 / $540.30 / $891.52	Professional		$97.25	$540.30	$891.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.44 / $521.96 / $1,060.84	Professional		$356.44	$521.96	$1,060.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $493.91 / $2,056.00 / $4,933.00	Facility		$493.91	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $455.15 / $522.01 / $784.14	Professional		$455.15	$522.01	$784.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $477.37 / $713.91	Professional		$32.30	$477.37	$713.91
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 $499.54 / $644.41 / $841.33	Professional		$499.54	$644.41	$841.33