Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.49 / $4,933.00 / $4,933.00	Facility		$575.49	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.44 / $524.04 / $580.32	Professional		$431.44	$524.04	$580.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,293.96 / $2,677.76 / $3,647.84	Facility		$2,293.96	$2,677.76	$3,647.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $596.51 / $798.18	Professional		$121.99	$596.51	$798.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.51 / $560.26 / $945.90	Professional		$429.51	$560.26	$945.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $540.66 / $4,933.00 / $4,933.00	Facility		$540.66	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $476.41 / $546.74 / $814.71	Professional		$476.41	$546.74	$814.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.96 / $522.37 / $754.82	Professional		$407.96	$522.37	$754.82
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 $554.79 / $610.63 / $817.08	Professional		$554.79	$610.63	$817.08