Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.62 / $2,877.00 / $4,933.00	Facility		$616.62	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.36 / $616.62 / $616.62	Professional		$454.36	$616.62	$616.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,368.30 / $2,764.51 / $3,766.03	Facility		$2,368.30	$2,764.51	$3,766.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $509.25 / $988.92	Professional		$139.18	$509.25	$988.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.40 / $559.97 / $993.98	Professional		$452.40	$559.97	$993.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $490.66 / $2,877.00 / $4,933.00	Facility		$490.66	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $490.66 / $550.95 / $795.74	Professional		$490.66	$550.95	$795.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $443.53 / $650.15	Professional		$37.27	$443.53	$650.15
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 $549.01 / $654.63 / $865.28	Professional		$549.01	$654.63	$865.28