Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.06 / $4,933.00 / $4,933.00	Facility		$302.06	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.35 / $302.06 / $302.06	Professional		$221.35	$302.06	$302.06
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 $60.20 / $221.30 / $407.18	Professional		$60.20	$221.30	$407.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.49 / $275.81 / $485.37	Professional		$219.49	$275.81	$485.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $246.91 / $4,933.00 / $4,933.00	Facility		$246.91	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $246.91 / $268.06 / $398.57	Professional		$246.91	$268.06	$398.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $242.09 / $349.05	Professional		$191.62	$242.09	$349.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,574.00 / $8,339.00	Facility		$2,524.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.92 / $325.04 / $452.74	Professional		$273.92	$325.04	$452.74