Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.72 / $2,877.00 / $4,933.00	Facility		$450.72	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.01 / $403.86 / $450.72	Professional		$345.01	$403.86	$450.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,773.41 / $2,621.99 / $3,514.71	Facility		$1,773.41	$2,621.99	$3,514.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $344.44 / $587.85	Professional		$92.80	$344.44	$587.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.84 / $470.28 / $906.38	Professional		$344.84	$470.28	$906.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $439.52 / $2,877.00 / $4,933.00	Facility		$439.52	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $357.17 / $439.52 / $593.35	Professional		$357.17	$439.52	$593.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.85 / $378.35 / $539.73	Professional		$299.85	$378.35	$539.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.43 / $525.38 / $738.06	Professional		$384.43	$525.38	$738.06