Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.16 / $2,877.00 / $4,933.00	Facility		$540.16	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.72 / $486.73 / $540.16	Professional		$386.72	$486.73	$540.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,281.17 / $3,372.71 / $4,656.35	Facility		$2,281.17	$3,372.71	$4,656.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $430.46 / $690.16	Professional		$109.71	$430.46	$690.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.95 / $525.84 / $1,063.11	Professional		$408.95	$525.84	$1,063.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $454.85 / $2,877.00 / $4,933.00	Facility		$454.85	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $417.93 / $473.85 / $683.59	Professional		$417.93	$473.85	$683.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $373.40 / $568.61	Professional		$37.11	$373.40	$568.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,033.00 / $9,143.00 / $12,359.00	Facility		$1,033.00	$9,143.00	$12,359.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.51 / $570.62 / $768.55	Professional		$445.51	$570.62	$768.55