Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.88 / $2,877.00 / $4,933.00	Facility		$599.88	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.38 / $594.88 / $599.88	Professional		$425.38	$594.88	$599.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.23 / $2,681.57 / $3,653.03	Facility		$2,297.23	$2,681.57	$3,653.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $463.30 / $834.74	Professional		$132.68	$463.30	$834.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $541.04 / $987.11	Professional		$447.51	$541.04	$987.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $536.67 / $2,877.00 / $4,933.00	Facility		$536.67	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $536.67 / $568.96 / $784.10	Professional		$536.67	$568.96	$784.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $311.90 / $568.10	Professional		$69.02	$311.90	$568.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.29 / $628.85 / $845.78	Professional		$547.29	$628.85	$845.78