Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.49 / $2,056.00 / $4,933.00	Facility		$467.49	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.50 / $467.49 / $467.49	Professional		$342.50	$467.49	$467.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.58 / $815.39 / $1,104.72	Facility		$699.58	$815.39	$1,104.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $546.78 / $1,025.21	Professional		$92.95	$546.78	$1,025.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.89 / $427.32 / $752.90	Professional		$339.89	$427.32	$752.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $377.02 / $2,056.00 / $4,933.00	Facility		$377.02	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $377.02 / $414.72 / $620.09	Professional		$377.02	$414.72	$620.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $380.49 / $541.27	Professional		$301.75	$380.49	$541.27
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.80 / $501.96 / $702.10	Professional		$422.80	$501.96	$702.10