Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.98 / $2,877.00 / $4,933.00	Facility		$453.98	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.35 / $453.98 / $453.98	Professional		$352.35	$453.98	$453.98
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 $102.73 / $516.13 / $1,059.45	Professional		$102.73	$516.13	$1,059.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $411.24 / $732.09	Professional		$334.08	$411.24	$732.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $359.13 / $2,877.00 / $4,933.00	Facility		$359.13	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $359.13 / $394.33 / $625.48	Professional		$359.13	$394.33	$625.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $345.63 / $510.03	Professional		$37.19	$345.63	$510.03
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 $389.93 / $489.82 / $616.19	Professional		$389.93	$489.82	$616.19