Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.91 / $4,933.00 / $4,933.00	Facility		$611.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $611.91 / $635.45	Professional		$390.00	$611.91	$635.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.30 / $2,136.51 / $2,910.51	Facility		$1,830.30	$2,136.51	$2,910.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $487.78 / $780.45	Professional		$119.28	$487.78	$780.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $568.52 / $896.99	Professional		$408.43	$568.52	$896.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $378.20 / $4,933.00 / $4,933.00	Facility		$378.20	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $378.20 / $485.76 / $717.20	Professional		$378.20	$485.76	$717.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.14 / $487.50 / $699.55	Professional		$379.14	$487.50	$699.55
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 $471.45 / $587.24 / $782.99	Professional		$471.45	$587.24	$782.99