Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.90 / $4,933.00 / $5,757.00	Facility		$841.90	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $765.68 / $841.90	Professional		$602.99	$765.68	$841.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.79 / $987.00 / $987.00	Facility		$167.79	$987.00	$987.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $236.88 / $1,184.40	Professional		$167.79	$236.88	$1,184.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.49 / $872.50 / $1,559.62	Professional		$643.49	$872.50	$1,559.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $674.06 / $4,933.00 / $5,757.00	Facility		$674.06	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $652.20 / $674.06 / $978.64	Professional		$652.20	$674.06	$978.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $552.43 / $844.36	Professional		$65.50	$552.43	$844.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.54 / $895.26 / $1,265.76	Professional		$683.54	$895.26	$1,265.76