Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.36 / $2,877.00 / $4,933.00	Facility		$362.36	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.18 / $374.77 / $551.79	Professional		$286.18	$374.77	$551.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,842.02 / $2,146.94 / $2,908.77	Facility		$1,842.02	$2,146.94	$2,908.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $402.59 / $487.35	Professional		$74.92	$402.59	$487.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.52 / $439.81 / $689.11	Professional		$291.52	$439.81	$689.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $2,877.00 / $4,933.00	Facility		$375.25	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $362.36 / $419.92 / $695.52	Professional		$362.36	$419.92	$695.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $445.76 / $643.68	Professional		$356.90	$445.76	$643.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.05 / $530.00 / $724.95	Professional		$428.05	$530.00	$724.95