Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.47 / $4,112.00 / $4,933.00	Facility		$482.47	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.75 / $433.16 / $486.64	Professional		$365.75	$433.16	$486.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,684.78 / $6,926.46 / $9,284.73	Facility		$4,684.78	$6,926.46	$9,284.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $384.27 / $614.84	Professional		$97.73	$384.27	$614.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.86 / $533.50 / $950.60	Professional		$359.86	$533.50	$950.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $429.77 / $4,112.00 / $4,933.00	Facility		$429.77	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $376.84 / $429.77 / $645.88	Professional		$376.84	$429.77	$645.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.79 / $411.35 / $591.86	Professional		$329.79	$411.35	$591.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,032.00 / $12,767.00	Facility		$4,635.00	$10,032.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.85 / $545.66 / $729.72	Professional		$390.85	$545.66	$729.72