Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.59 / $4,112.00 / $4,933.00	Facility		$401.59	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.48 / $401.59 / $418.32	Professional		$289.48	$401.59	$418.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,494.90 / $2,912.30 / $3,967.35	Facility		$2,494.90	$2,912.30	$3,967.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.02 / $545.91 / $803.93	Professional		$319.02	$545.91	$803.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.70 / $353.86 / $697.65	Professional		$308.70	$353.86	$697.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $325.30 / $4,112.00 / $4,933.00	Facility		$325.30	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $325.30 / $374.09 / $528.79	Professional		$325.30	$374.09	$528.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $289.44 / $444.81	Professional		$65.66	$289.44	$444.81
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 $332.76 / $412.35 / $531.66	Professional		$332.76	$412.35	$531.66