Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.94 / $4,112.00 / $4,933.00	Facility		$357.94	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.29 / $318.95 / $360.93	Professional		$271.29	$318.95	$360.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,131.52 / $4,629.95 / $6,206.32	Facility		$3,131.52	$4,629.95	$6,206.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $282.80 / $460.69	Professional		$77.78	$282.80	$460.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.87 / $397.71 / $712.36	Professional		$267.87	$397.71	$712.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $321.12 / $4,112.00 / $4,933.00	Facility		$321.12	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $279.01 / $321.12 / $479.17	Professional		$279.01	$321.12	$479.17
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 $4,635.00 / $9,143.00 / $12,359.00	Facility		$4,635.00	$9,143.00	$12,359.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.16 / $412.87 / $550.65	Professional		$290.16	$412.87	$550.65