Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.41 / $4,933.00 / $5,757.00	Facility		$515.41	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.86 / $462.59 / $515.41	Professional		$378.86	$462.59	$515.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,737.67 / $4,047.64 / $5,588.17	Facility		$2,737.67	$4,047.64	$5,588.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $570.54 / $690.66	Professional		$120.11	$570.54	$690.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.17 / $511.75 / $1,036.54	Professional		$395.17	$511.75	$1,036.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $455.47 / $4,933.00 / $5,757.00	Facility		$455.47	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $399.62 / $455.47 / $651.04	Professional		$399.62	$455.47	$651.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.90 / $411.56 / $586.16	Professional		$324.90	$411.56	$586.16
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 $424.80 / $562.03 / $725.47	Professional		$424.80	$562.03	$725.47