Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.46 / $2,056.00 / $4,933.00	Facility		$380.46	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $380.46 / $396.31	Professional		$268.70	$380.46	$396.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.66 / $2,414.75 / $3,289.55	Facility		$2,068.66	$2,414.75	$3,289.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $285.02 / $576.07	Professional		$81.61	$285.02	$576.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.16 / $344.85 / $657.04	Professional		$286.16	$344.85	$657.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $325.93 / $2,056.00 / $4,933.00	Facility		$325.93	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $325.93 / $362.49 / $527.97	Professional		$325.93	$362.49	$527.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $300.32 / $444.56	Professional		$49.63	$300.32	$444.56
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 $330.42 / $409.69 / $515.54	Professional		$330.42	$409.69	$515.54