Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.62 / $4,933.00 / $4,933.00	Facility		$489.62	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $489.62 / $489.62	Professional		$359.75	$489.62	$489.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,661.91 / $1,939.95 / $2,642.75	Facility		$1,661.91	$1,939.95	$2,642.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $594.52 / $764.38	Professional		$96.26	$594.52	$764.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.43 / $480.07 / $757.93	Professional		$301.43	$480.07	$757.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $388.73 / $4,933.00 / $4,933.00	Facility		$388.73	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $388.73 / $393.57 / $569.88	Professional		$388.73	$393.57	$569.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $416.43 / $607.49	Professional		$326.33	$416.43	$607.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $552.76 / $813.58	Professional		$428.61	$552.76	$813.58