Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.19 / $2,877.00 / $4,933.00	Facility		$543.19	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.88 / $543.19 / $565.83	Professional		$387.88	$543.19	$565.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.48 / $2,496.26 / $3,400.59	Facility		$2,138.48	$2,496.26	$3,400.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $429.82 / $764.94	Professional		$116.91	$429.82	$764.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.76 / $485.56 / $940.13	Professional		$412.76	$485.56	$940.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $453.66 / $2,877.00 / $4,933.00	Facility		$453.66	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $453.66 / $508.09 / $671.62	Professional		$453.66	$508.09	$671.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $374.83 / $570.86	Professional		$65.66	$374.83	$570.86
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 $451.86 / $560.83 / $722.35	Professional		$451.86	$560.83	$722.35