Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.33 / $2,056.00 / $4,933.00	Facility		$444.33	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.02 / $444.33 / $538.24	Professional		$351.02	$444.33	$538.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.25 / $4,074.17 / $5,550.14	Facility		$3,490.25	$4,074.17	$5,550.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $361.77 / $819.62	Professional		$88.47	$361.77	$819.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.07 / $471.22 / $1,002.63	Professional		$324.07	$471.22	$1,002.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $433.89 / $2,056.00 / $4,933.00	Facility		$433.89	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $433.89 / $444.33 / $691.61	Professional		$433.89	$444.33	$691.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $358.85 / $447.89 / $642.23	Professional		$358.85	$447.89	$642.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.63 / $601.09 / $874.61	Professional		$483.63	$601.09	$874.61