Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.11 / $2,056.00 / $4,933.00	Facility		$425.11	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.45 / $388.65 / $446.36	Professional		$308.45	$388.65	$446.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.97 / $1,512.47 / $2,027.42	Facility		$1,022.97	$1,512.47	$2,027.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $312.18 / $574.40	Professional		$84.91	$312.18	$574.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $412.21 / $834.12	Professional		$307.55	$412.21	$834.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $352.21 / $2,056.00 / $4,933.00	Facility		$352.21	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $328.69 / $375.64 / $532.84	Professional		$328.69	$375.64	$532.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $293.79 / $440.33	Professional		$37.11	$293.79	$440.33
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 $345.02 / $450.73 / $597.15	Professional		$345.02	$450.73	$597.15