Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.28 / $4,933.00 / $4,933.00	Facility		$496.28	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.12 / $496.28 / $500.45	Professional		$322.12	$496.28	$500.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,739.21 / $2,030.18 / $2,765.66	Facility		$1,739.21	$2,030.18	$2,765.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $336.05 / $700.14	Professional		$111.29	$336.05	$700.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.69 / $418.41 / $833.54	Professional		$369.69	$418.41	$833.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $361.06 / $4,933.00 / $4,933.00	Facility		$361.06	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $361.06 / $449.02 / $606.36	Professional		$361.06	$449.02	$606.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $313.79 / $509.17	Professional		$65.66	$313.79	$509.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $484.67 / $688.88	Professional		$408.43	$484.67	$688.88