Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.39 / $4,112.00 / $4,933.00	Facility		$512.39	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $468.10 / $533.74	Professional		$366.14	$468.10	$533.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,673.12 / $3,120.34 / $4,250.75	Facility		$2,673.12	$3,120.34	$4,250.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $450.39 / $745.05	Professional		$114.54	$450.39	$745.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.36 / $456.70 / $887.23	Professional		$390.36	$456.70	$887.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $426.45 / $4,112.00 / $4,933.00	Facility		$426.45	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $426.45 / $477.16 / $691.87	Professional		$426.45	$477.16	$691.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $352.73 / $536.30	Professional		$65.66	$352.73	$536.30
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 $463.73 / $527.91 / $675.91	Professional		$463.73	$527.91	$675.91