Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.80 / $4,933.00 / $4,933.00	Facility		$595.80	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.78 / $595.80 / $595.80	Professional		$439.78	$595.80	$595.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,368.30 / $2,764.51 / $3,766.03	Facility		$2,368.30	$2,764.51	$3,766.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $442.89 / $757.89	Professional		$120.47	$442.89	$757.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.94 / $537.91 / $961.21	Professional		$437.94	$537.91	$961.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $475.11 / $4,933.00 / $4,933.00	Facility		$475.11	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $475.11 / $531.54 / $768.49	Professional		$475.11	$531.54	$768.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $404.59 / $619.29	Professional		$54.60	$404.59	$619.29
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 $521.98 / $633.84 / $826.64	Professional		$521.98	$633.84	$826.64