Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.03 / $4,933.00 / $4,933.00	Facility		$334.03	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.34 / $334.03 / $336.84	Professional		$240.34	$334.03	$336.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.28 / $1,515.48 / $2,064.51	Facility		$1,298.28	$1,515.48	$2,064.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $264.94 / $539.91	Professional		$70.59	$264.94	$539.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $325.70 / $546.57	Professional		$248.63	$325.70	$546.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $312.36 / $4,933.00 / $4,933.00	Facility		$312.36	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $312.36 / $322.44 / $440.28	Professional		$312.36	$322.44	$440.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.48 / $313.93 / $451.89	Professional		$244.48	$313.93	$451.89
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 $319.06 / $353.42 / $471.18	Professional		$319.06	$353.42	$471.18