Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.03 / $4,112.00 / $4,933.00	Facility		$519.03	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $458.57 / $519.03	Professional		$386.68	$458.57	$519.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,866.97 / $2,176.02 / $2,948.15	Facility		$1,866.97	$2,176.02	$2,948.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.49 / $586.62 / $1,065.18	Professional		$123.49	$586.62	$1,065.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.98 / $467.83 / $836.49	Professional		$380.98	$467.83	$836.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $408.76 / $4,112.00 / $4,933.00	Facility		$408.76	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $408.76 / $463.23 / $662.83	Professional		$408.76	$463.23	$662.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $378.12 / $556.35	Professional		$49.49	$378.12	$556.35
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 $448.10 / $551.27 / $678.96	Professional		$448.10	$551.27	$678.96