Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.33 / $4,112.00 / $4,933.00	Facility		$631.33	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.47 / $631.33 / $654.71	Professional		$457.47	$631.33	$654.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,634.69 / $3,070.82 / $4,160.47	Facility		$2,634.69	$3,070.82	$4,160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $722.07 / $1,137.27	Professional		$122.76	$722.07	$1,137.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.97 / $506.54 / $959.03	Professional		$375.97	$506.54	$959.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $511.37 / $4,112.00 / $4,933.00	Facility		$511.37	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $490.63 / $534.15 / $787.55	Professional		$490.63	$534.15	$787.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $357.47 / $560.73	Professional		$64.98	$357.47	$560.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.61 / $571.89 / $857.26	Professional		$486.61	$571.89	$857.26