Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.60 / $2,877.00 / $4,933.00	Facility		$512.60	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.01 / $508.33 / $512.60	Professional		$344.01	$508.33	$512.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,874.23 / $2,187.79 / $2,980.38	Facility		$1,874.23	$2,187.79	$2,980.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $374.02 / $719.52	Professional		$120.15	$374.02	$719.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.79 / $432.65 / $854.02	Professional		$372.79	$432.65	$854.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $435.68 / $2,877.00 / $4,933.00	Facility		$435.68	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $435.68 / $489.06 / $670.02	Professional		$435.68	$489.06	$670.02
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 $438.60 / $521.41 / $693.98	Professional		$438.60	$521.41	$693.98