Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.51 / $4,112.00 / $4,933.00	Facility		$395.51	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.31 / $395.51 / $411.98	Professional		$285.31	$395.51	$411.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,750.60 / $2,040.39 / $2,764.40	Facility		$1,750.60	$2,040.39	$2,764.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $330.39 / $654.50	Professional		$85.59	$330.39	$654.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $348.52 / $688.50	Professional		$304.89	$348.52	$688.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $319.56 / $4,112.00 / $4,933.00	Facility		$319.56	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $319.56 / $367.49 / $520.23	Professional		$319.56	$367.49	$520.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $277.56 / $437.81	Professional		$65.66	$277.56	$437.81
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 $347.66 / $407.95 / $523.19	Professional		$347.66	$407.95	$523.19