Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.62 / $4,933.00 / $4,933.00	Facility		$507.62	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.91 / $482.15 / $511.88	Professional		$359.91	$482.15	$511.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,967.62 / $2,293.33 / $3,107.10	Facility		$1,967.62	$2,293.33	$3,107.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $375.46 / $769.09	Professional		$108.96	$375.46	$769.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.33 / $447.32 / $844.15	Professional		$380.33	$447.32	$844.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $4,933.00 / $4,933.00	Facility		$455.43	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $455.03 / $482.15 / $669.08	Professional		$455.03	$482.15	$669.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $309.58 / $488.69	Professional		$65.66	$309.58	$488.69
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 $460.17 / $529.66 / $696.92	Professional		$460.17	$529.66	$696.92