Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.09 / $4,933.00 / $4,933.00	Facility		$652.09	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.34 / $652.09 / $679.26	Professional		$462.34	$652.09	$679.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,455.07 / $2,865.80 / $3,904.01	Facility		$2,455.07	$2,865.80	$3,904.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $580.90 / $960.95	Professional		$147.72	$580.90	$960.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.14 / $588.54 / $1,144.42	Professional		$495.14	$588.54	$1,144.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $4,933.00 / $4,933.00	Facility		$526.85	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $526.85 / $603.42 / $843.75	Professional		$526.85	$603.42	$843.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $471.42 / $715.05	Professional		$65.66	$471.42	$715.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.78 / $701.44 / $882.54	Professional		$570.78	$701.44	$882.54