Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.82 / $2,877.00 / $4,933.00	Facility		$556.82	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.68 / $552.17 / $556.82	Professional		$376.68	$552.17	$556.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,053.19 / $2,396.69 / $3,264.95	Facility		$2,053.19	$2,396.69	$3,264.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $512.29 / $777.13	Professional		$123.52	$512.29	$777.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.75 / $475.90 / $925.94	Professional		$406.75	$475.90	$925.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $477.38 / $2,877.00 / $4,933.00	Facility		$477.38	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $466.64 / $530.51 / $735.00	Professional		$466.64	$530.51	$735.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $280.94 / $526.80	Professional		$68.66	$280.94	$526.80
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 $479.14 / $568.20 / $769.20	Professional		$479.14	$568.20	$769.20