Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.47 / $2,877.00 / $4,933.00	Facility		$480.47	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.23 / $432.90 / $485.81	Professional		$329.23	$432.90	$485.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.64 / $2,573.53 / $3,553.02	Facility		$1,740.64	$2,573.53	$3,553.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $374.19 / $634.22	Professional		$96.93	$374.19	$634.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.79 / $459.88 / $834.39	Professional		$320.79	$459.88	$834.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $378.30 / $2,877.00 / $4,933.00	Facility		$378.30	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $376.97 / $412.87 / $588.90	Professional		$376.97	$412.87	$588.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $295.67 / $461.74	Professional		$62.22	$295.67	$461.74
United Facility/Professional Facility Modifier Low / Median / High Price $638.00 / $5,202.00 / $7,238.00	Facility		$638.00	$5,202.00	$7,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.72 / $478.37 / $631.51	Professional		$387.72	$478.37	$631.51