Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.20 / $2,877.00 / $5,737.13	Facility		$476.20	$2,877.00	$5,737.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.26 / $426.49 / $593.22	Professional		$368.26	$426.49	$593.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,368.30 / $2,764.51 / $3,766.03	Facility		$2,368.30	$2,764.51	$3,766.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $152.74 / $622.27	Professional		$96.17	$152.74	$622.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.79 / $447.73 / $768.35	Professional		$348.79	$447.73	$768.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $370.32 / $2,740.00 / $4,933.00	Facility		$370.32	$2,740.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $370.32 / $425.02 / $700.83	Professional		$370.32	$425.02	$700.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $327.60 / $491.11	Professional		$37.27	$327.60	$491.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,327.00	Facility		$1,050.00	$3,569.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.14 / $510.83 / $635.51	Professional		$418.14	$510.83	$635.51