Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.97 / $2,056.00 / $4,933.00	Facility		$446.97	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.16 / $446.97 / $543.29	Professional		$354.16	$446.97	$543.29
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 $92.45 / $522.88 / $901.97	Professional		$92.45	$522.88	$901.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.01 / $473.61 / $837.15	Professional		$326.01	$473.61	$837.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $432.90 / $2,056.00 / $4,933.00	Facility		$432.90	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $432.90 / $446.97 / $670.98	Professional		$432.90	$446.97	$670.98
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 $484.07 / $573.53 / $762.80	Professional		$484.07	$573.53	$762.80