Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.14 / $4,112.00 / $4,933.00	Facility		$533.14	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.41 / $533.14 / $533.14	Professional		$393.41	$533.14	$533.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,986.38 / $2,318.69 / $3,158.71	Facility		$1,986.38	$2,318.69	$3,158.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $412.37 / $705.67	Professional		$107.85	$412.37	$705.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.59 / $571.75 / $859.56	Professional		$391.59	$571.75	$859.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $428.17 / $4,112.00 / $4,933.00	Facility		$428.17	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $428.17 / $476.13 / $730.62	Professional		$428.17	$476.13	$730.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $399.55 / $591.49	Professional		$49.83	$399.55	$591.49
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 $479.39 / $564.30 / $726.98	Professional		$479.39	$564.30	$726.98