Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.24 / $2,056.00 / $4,933.00	Facility		$330.24	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.14 / $296.50 / $330.24	Professional		$242.14	$296.50	$330.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,899.84 / $7,244.43 / $9,710.95	Facility		$4,899.84	$7,244.43	$9,710.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $92.15 / $479.93	Professional		$65.27	$92.15	$479.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $327.83 / $662.30	Professional		$250.00	$327.83	$662.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $249.45 / $2,056.00 / $4,933.00	Facility		$249.45	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $267.57 / $384.00	Professional		$249.45	$267.57	$384.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.21 / $275.20 / $395.67	Professional		$219.21	$275.20	$395.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $5,493.00 / $11,392.00	Facility		$1,527.00	$5,493.00	$11,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $347.78 / $456.44	Professional		$272.83	$347.78	$456.44