Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.19 / $4,933.00 / $4,933.00	Facility		$672.19	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.28 / $651.54 / $698.04	Professional		$452.28	$651.54	$698.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,324.91 / $2,728.76 / $3,697.04	Facility		$2,324.91	$2,728.76	$3,697.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $494.25 / $909.41	Professional		$134.43	$494.25	$909.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.26 / $602.54 / $1,165.21	Professional		$383.26	$602.54	$1,165.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $527.22 / $672.19 / $4,933.00	Facility		$527.22	$672.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $525.02 / $579.94 / $846.37	Professional		$525.02	$579.94	$846.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $450.16 / $680.48	Professional		$65.66	$450.16	$680.48
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.57 / $596.28 / $820.68	Professional		$495.57	$596.28	$820.68