Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.37 / $2,056.00 / $4,933.00	Facility		$471.37	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $397.07 / $471.37	Professional		$326.08	$397.07	$471.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.71 / $3,126.61 / $4,316.60	Facility		$2,114.71	$3,126.61	$4,316.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $388.67 / $605.04	Professional		$95.24	$388.67	$605.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.85 / $442.31 / $818.99	Professional		$309.85	$442.31	$818.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $369.24 / $2,056.00 / $4,933.00	Facility		$369.24	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $365.47 / $403.68 / $587.72	Professional		$365.47	$403.68	$587.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $314.32 / $473.12	Professional		$32.30	$314.32	$473.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $8,911.00	Facility		$2,500.00	$7,780.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.13 / $458.20 / $607.70	Professional		$363.13	$458.20	$607.70