Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.58 / $2,056.00 / $4,933.00	Facility		$535.58	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.83 / $535.58 / $535.58	Professional		$414.83	$535.58	$535.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,360.22 / $1,585.38 / $2,147.94	Facility		$1,360.22	$1,585.38	$2,147.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $906.90 / $1,241.02	Professional		$108.19	$906.90	$1,241.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $485.41 / $863.30	Professional		$392.98	$485.41	$863.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $426.13 / $2,056.00 / $4,933.00	Facility		$426.13	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $426.13 / $477.87 / $690.69	Professional		$426.13	$477.87	$690.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $392.83 / $590.61	Professional		$37.27	$392.83	$590.61
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 $465.86 / $552.66 / $701.58	Professional		$465.86	$552.66	$701.58