Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.08 / $2,056.00 / $4,933.00	Facility		$540.08	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.69 / $540.08 / $577.80	Professional		$418.69	$540.08	$577.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.66 / $2,414.75 / $3,289.55	Facility		$2,068.66	$2,414.75	$3,289.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $382.60 / $773.26	Professional		$115.02	$382.60	$773.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.62 / $586.20 / $769.89	Professional		$404.62	$586.20	$769.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $455.01 / $2,056.00 / $4,933.00	Facility		$455.01	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $455.01 / $523.26 / $737.04	Professional		$455.01	$523.26	$737.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $392.68 / $596.63	Professional		$62.75	$392.68	$596.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,243.34 / $5,574.00 / $8,339.00	Facility		$2,243.34	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.22 / $597.61 / $755.28	Professional		$492.22	$597.61	$755.28