Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.03 / $2,877.00 / $4,933.00	Facility		$401.03	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.43 / $366.26 / $427.38	Professional		$291.43	$366.26	$427.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,517.92 / $1,771.87 / $2,413.78	Facility		$1,517.92	$1,771.87	$2,413.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $329.19 / $683.69	Professional		$96.23	$329.19	$683.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.92 / $362.54 / $692.68	Professional		$302.92	$362.54	$692.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $343.85 / $2,877.00 / $4,933.00	Facility		$343.85	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $343.85 / $399.64 / $529.35	Professional		$343.85	$399.64	$529.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $274.89 / $421.53	Professional		$54.60	$274.89	$421.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.13 / $438.56 / $545.26	Professional		$353.13	$438.56	$545.26