Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.90 / $4,112.00 / $4,933.00	Facility		$595.90	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.44 / $595.90 / $617.97	Professional		$432.44	$595.90	$617.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,303.57 / $2,684.89 / $3,637.60	Facility		$2,303.57	$2,684.89	$3,637.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $549.78 / $1,082.36	Professional		$116.83	$549.78	$1,082.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.28 / $480.26 / $912.61	Professional		$356.28	$480.26	$912.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $464.26 / $4,112.00 / $4,933.00	Facility		$464.26	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $464.26 / $507.32 / $748.06	Professional		$464.26	$507.32	$748.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $295.34 / $505.25	Professional		$67.94	$295.34	$505.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.70 / $531.76 / $704.54	Professional		$457.70	$531.76	$704.54