Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.87 / $2,877.00 / $4,933.00	Facility		$304.87	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.54 / $304.87 / $435.30	Professional		$207.54	$304.87	$435.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.64 / $2,573.53 / $3,449.75	Facility		$1,740.64	$2,573.53	$3,449.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $241.17 / $396.91	Professional		$62.48	$241.17	$396.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $340.62 / $703.66	Professional		$209.32	$340.62	$703.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $295.29 / $2,877.00 / $4,933.00	Facility		$295.29	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $270.69 / $321.51 / $483.96	Professional		$270.69	$321.51	$483.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $279.47 / $419.92	Professional		$32.05	$279.47	$419.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.37 / $392.68 / $536.29	Professional		$304.37	$392.68	$536.29