Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.91 / $2,877.00 / $4,933.00	Facility		$586.91	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.06 / $572.11 / $609.49	Professional		$388.06	$572.11	$609.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.19 / $1,857.03 / $2,515.98	Facility		$1,582.19	$1,857.03	$2,515.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $189.85 / $773.47	Professional		$116.02	$189.85	$773.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.33 / $488.33 / $990.40	Professional		$338.33	$488.33	$990.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $464.91 / $2,877.00 / $4,933.00	Facility		$464.91	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $464.91 / $511.40 / $715.81	Professional		$464.91	$511.40	$715.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $386.36 / $586.74	Professional		$65.66	$386.36	$586.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.87 / $491.77 / $640.29	Professional		$409.87	$491.77	$640.29