Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.86 / $4,112.00 / $4,933.00	Facility		$519.86	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $519.86 / $541.52	Professional		$370.82	$519.86	$541.52
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 $124.70 / $426.62 / $754.79	Professional		$124.70	$426.62	$754.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.38 / $464.44 / $898.96	Professional		$394.38	$464.44	$898.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $467.27 / $4,112.00 / $4,933.00	Facility		$467.27	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $467.27 / $493.71 / $719.70	Professional		$467.27	$493.71	$719.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $369.55 / $556.35	Professional		$65.66	$369.55	$556.35
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 $452.48 / $542.50 / $702.76	Professional		$452.48	$542.50	$702.76