Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.50 / $2,877.00 / $4,933.00	Facility		$573.50	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $491.05 / $573.50	Professional		$446.56	$491.05	$573.50
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 $120.27 / $442.16 / $850.30	Professional		$120.27	$442.16	$850.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.43 / $520.09 / $923.16	Professional		$420.43	$520.09	$923.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $459.77 / $2,877.00 / $4,933.00	Facility		$459.77	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $459.77 / $491.05 / $743.77	Professional		$459.77	$491.05	$743.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $422.12 / $623.32	Professional		$49.83	$422.12	$623.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $6,873.00 / $8,911.00	Facility		$3,054.00	$6,873.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.93 / $608.63 / $769.66	Professional		$498.93	$608.63	$769.66