Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.50 / $2,056.00 / $4,933.00	Facility		$573.50	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.75 / $573.50 / $573.50	Professional		$443.75	$573.50	$573.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.73 / $2,496.54 / $3,400.98	Facility		$2,138.73	$2,496.54	$3,400.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $424.85 / $756.08	Professional		$120.18	$424.85	$756.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.66 / $546.82 / $925.64	Professional		$420.66	$546.82	$925.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $455.84 / $2,056.00 / $4,933.00	Facility		$455.84	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $455.84 / $511.23 / $775.90	Professional		$455.84	$511.23	$775.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $401.50 / $604.31	Professional		$65.66	$401.50	$604.31
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 $510.56 / $632.54 / $950.24	Professional		$510.56	$632.54	$950.24