Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.05 / $2,877.00 / $4,933.00	Facility		$421.05	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $421.05 / $449.30	Professional		$283.16	$421.05	$449.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.90 / $2,166.54 / $2,935.32	Facility		$1,845.90	$2,166.54	$2,935.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $358.73 / $609.53	Professional		$86.35	$358.73	$609.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.17 / $431.63 / $781.69	Professional		$244.17	$431.63	$781.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $501.40 / $2,877.00 / $4,933.00	Facility		$501.40	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $331.41 / $501.40 / $615.79	Professional		$331.41	$501.40	$615.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $257.59 / $400.56	Professional		$53.55	$257.59	$400.56
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 $365.07 / $469.64 / $611.71	Professional		$365.07	$469.64	$611.71