Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.28 / $4,112.00 / $4,933.00	Facility		$434.28	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $434.28 / $434.28	Professional		$318.18	$434.28	$434.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,933.62 / $2,253.69 / $3,053.41	Facility		$1,933.62	$2,253.69	$3,053.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $724.52 / $953.31	Professional		$96.61	$724.52	$953.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $421.70 / $698.02	Professional		$315.55	$421.70	$698.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $356.06 / $4,112.00 / $4,933.00	Facility		$356.06	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $356.06 / $385.44 / $573.50	Professional		$356.06	$385.44	$573.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $380.49 / $541.27	Professional		$301.75	$380.49	$541.27
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 $376.29 / $472.08 / $601.05	Professional		$376.29	$472.08	$601.05