Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.71 / $2,056.00 / $4,933.00	Facility		$425.71	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $357.63 / $425.71	Professional		$295.08	$357.63	$425.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,886.01 / $2,239.41 / $3,075.78	Facility		$1,886.01	$2,239.41	$3,075.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $352.77 / $564.42	Professional		$92.30	$352.77	$564.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.75 / $405.58 / $739.12	Professional		$282.75	$405.58	$739.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $334.82 / $2,056.00 / $4,933.00	Facility		$334.82	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $330.76 / $366.42 / $522.78	Professional		$330.76	$366.42	$522.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.62 / $310.05 / $451.46	Professional		$238.62	$310.05	$451.46
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 $341.60 / $423.85 / $538.99	Professional		$341.60	$423.85	$538.99