Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.18 / $2,877.00 / $4,933.00	Facility		$352.18	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.67 / $352.18 / $352.18	Professional		$257.67	$352.18	$352.18
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 $72.55 / $269.27 / $512.91	Professional		$72.55	$269.27	$512.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $321.29 / $564.29	Professional		$255.12	$321.29	$564.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $284.00 / $2,877.00 / $4,933.00	Facility		$284.00	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $310.94 / $463.58	Professional		$284.00	$310.94	$463.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $276.78 / $397.33	Professional		$219.81	$276.78	$397.33
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 $318.10 / $371.03 / $500.25	Professional		$318.10	$371.03	$500.25