Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.29 / $4,112.00 / $4,933.00	Facility		$529.29	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.61 / $492.44 / $563.91	Professional		$376.61	$492.44	$563.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,178.65 / $2,586.88 / $3,553.02	Facility		$2,178.65	$2,586.88	$3,553.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $426.89 / $714.65	Professional		$107.52	$426.89	$714.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.85 / $507.07 / $938.53	Professional		$360.85	$507.07	$938.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $4,112.00 / $4,933.00	Facility		$427.13	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $412.50 / $462.95 / $683.84	Professional		$412.50	$462.95	$683.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $377.74 / $568.49	Professional		$65.50	$377.74	$568.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $538.50 / $692.57	Professional		$431.34	$538.50	$692.57