Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.32 / $2,056.00 / $4,933.00	Facility		$452.32	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.24 / $452.32 / $452.32	Professional		$331.24	$452.32	$452.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $793.98 / $926.81 / $1,262.57	Facility		$793.98	$926.81	$1,262.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $528.36 / $881.55	Professional		$105.67	$528.36	$881.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.16 / $413.42 / $727.64	Professional		$328.16	$413.42	$727.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $364.67 / $2,056.00 / $4,933.00	Facility		$364.67	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $364.67 / $400.71 / $597.97	Professional		$364.67	$400.71	$597.97
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 $408.57 / $485.59 / $614.47	Professional		$408.57	$485.59	$614.47