Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.76 / $2,056.00 / $4,933.00	Facility		$449.76	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.27 / $449.76 / $449.76	Professional		$329.27	$449.76	$449.76
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 $92.80 / $498.63 / $826.68	Professional		$92.80	$498.63	$826.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $411.01 / $723.28	Professional		$326.52	$411.01	$723.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $362.20 / $2,056.00 / $4,933.00	Facility		$362.20	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $362.20 / $398.04 / $593.95	Professional		$362.20	$398.04	$593.95
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 $2,248.00 / $5,202.00 / $8,339.00	Facility		$2,248.00	$5,202.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.79 / $478.78 / $622.54	Professional		$401.79	$478.78	$622.54