Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.64 / $2,877.00 / $4,933.00	Facility		$553.64	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.82 / $540.80 / $574.92	Professional		$375.82	$540.80	$574.92
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 $110.31 / $446.11 / $694.29	Professional		$110.31	$446.11	$694.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.33 / $507.19 / $969.24	Professional		$315.33	$507.19	$969.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $462.96 / $2,877.00 / $4,933.00	Facility		$462.96	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $431.65 / $493.32 / $699.31	Professional		$431.65	$493.32	$699.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $359.18 / $560.86	Professional		$65.50	$359.18	$560.86
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 $441.27 / $519.54 / $702.67	Professional		$441.27	$519.54	$702.67