Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.02 / $4,933.00 / $4,933.00	Facility		$721.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.04 / $721.02 / $721.02	Professional		$539.04	$721.02	$721.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,763.04 / $3,225.30 / $4,393.74	Facility		$2,763.04	$3,225.30	$4,393.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.49 / $533.77 / $896.74	Professional		$161.49	$533.77	$896.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $652.80 / $1,163.00	Professional		$528.64	$652.80	$1,163.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $571.47 / $2,839.81 / $4,933.00	Facility		$571.47	$2,839.81	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $571.47 / $642.33 / $925.51	Professional		$571.47	$642.33	$925.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $499.38 / $748.32	Professional		$65.66	$499.38	$748.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,514.14 / $5,806.00 / $9,128.24	Facility		$2,514.14	$5,806.00	$9,128.24
United Facility/Professional Professional Modifier Low / Median / High Price $624.86 / $759.94 / $967.71	Professional		$624.86	$759.94	$967.71