Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.80 / $4,933.00 / $4,933.00	Facility		$494.80	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.33 / $438.22 / $494.80	Professional		$344.33	$438.22	$494.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.00 / $2,095.05 / $2,808.35	Facility		$1,417.00	$2,095.05	$2,808.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.68 / $355.43 / $632.55	Professional		$96.68	$355.43	$632.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.37 / $479.99 / $935.58	Professional		$373.37	$479.99	$935.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $406.94 / $4,933.00 / $4,933.00	Facility		$406.94	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $384.48 / $421.10 / $617.44	Professional		$384.48	$421.10	$617.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.86 / $415.13 / $597.79	Professional		$325.86	$415.13	$597.79
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.56 / $515.79 / $684.54	Professional		$404.56	$515.79	$684.54