Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.66 / $2,056.00 / $4,933.00	Facility		$456.66	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.55 / $456.66 / $456.66	Professional		$308.55	$456.66	$456.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,384.90 / $2,779.68 / $3,766.03	Facility		$2,384.90	$2,779.68	$3,766.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $572.54 / $1,063.32	Professional		$96.41	$572.54	$1,063.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.56 / $412.82 / $735.03	Professional		$335.56	$412.82	$735.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $361.59 / $2,056.00 / $4,933.00	Facility		$361.59	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $361.59 / $408.75 / $571.34	Professional		$361.59	$408.75	$571.34
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 $391.45 / $483.14 / $594.23	Professional		$391.45	$483.14	$594.23