Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.23 / $2,877.00 / $4,933.00	Facility		$355.23	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.48 / $321.23 / $361.19	Professional		$269.48	$321.23	$361.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,843.43 / $3,376.22 / $4,637.16	Facility		$2,843.43	$3,376.22	$4,637.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $256.45 / $471.88	Professional		$76.73	$256.45	$471.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $389.60 / $717.24	Professional		$268.45	$389.60	$717.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $321.13 / $2,877.00 / $4,933.00	Facility		$321.13	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $278.35 / $321.13 / $475.55	Professional		$278.35	$321.13	$475.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.35 / $275.29 / $398.20	Professional		$220.35	$275.29	$398.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $8,911.00	Facility		$2,500.00	$7,780.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $415.29 / $539.28	Professional		$287.27	$415.29	$539.28