Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.06 / $4,112.00 / $4,933.00	Facility		$374.06	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $334.96 / $445.21	Professional		$272.70	$334.96	$445.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.48 / $2,496.26 / $3,400.59	Facility		$2,138.48	$2,496.26	$3,400.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $452.27 / $618.89	Professional		$84.17	$452.27	$618.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.29 / $367.40 / $603.66	Professional		$292.29	$367.40	$603.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $330.69 / $4,112.00 / $4,933.00	Facility		$330.69	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $368.25 / $500.44	Professional		$316.10	$368.25	$500.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $303.42 / $461.74	Professional		$65.66	$303.42	$461.74
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 $359.69 / $424.06 / $559.22	Professional		$359.69	$424.06	$559.22