Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.25 / $4,933.00 / $4,933.00	Facility		$604.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.42 / $604.25 / $627.49	Professional		$407.42	$604.25	$627.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,116.76 / $2,467.15 / $3,342.60	Facility		$2,116.76	$2,467.15	$3,342.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $689.67 / $1,488.08	Professional		$133.11	$689.67	$1,488.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.71 / $599.83 / $907.43	Professional		$418.71	$599.83	$907.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $494.87 / $4,933.00 / $4,933.00	Facility		$494.87	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $494.87 / $546.22 / $829.42	Professional		$494.87	$546.22	$829.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $399.05 / $614.86	Professional		$65.66	$399.05	$614.86
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 $502.10 / $576.08 / $775.82	Professional		$502.10	$576.08	$775.82