Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.81 / $4,112.00 / $4,933.00	Facility		$365.81	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $365.81 / $365.81	Professional		$268.14	$365.81	$365.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,384.90 / $2,779.68 / $3,766.03	Facility		$2,384.90	$2,779.68	$3,766.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $267.67 / $458.04	Professional		$80.09	$267.67	$458.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $334.03 / $587.82	Professional		$266.20	$334.03	$587.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $297.67 / $4,112.00 / $4,933.00	Facility		$297.67	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $297.67 / $324.48 / $490.81	Professional		$297.67	$324.48	$490.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $310.60 / $445.16	Professional		$247.31	$310.60	$445.16
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 $325.41 / $387.35 / $506.19	Professional		$325.41	$387.35	$506.19