Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.66 / $4,933.00 / $4,933.00	Facility		$464.66	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.59 / $464.66 / $1,253.14	Professional		$344.59	$464.66	$1,253.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.09 / $2,840.34 / $3,921.37	Facility		$1,921.09	$2,840.34	$3,921.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $653.35 / $861.29	Professional		$131.63	$653.35	$861.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.51 / $479.76 / $1,271.69	Professional		$300.51	$479.76	$1,271.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $464.66 / $4,933.00 / $4,933.00	Facility		$464.66	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $442.78 / $544.21 / $845.68	Professional		$442.78	$544.21	$845.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $311.74	Professional		$75.00	$100.00	$311.74
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 $349.50 / $580.29 / $829.54	Professional		$349.50	$580.29	$829.54