Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.74 / $2,877.00 / $4,933.00	Facility		$639.74	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.51 / $639.74 / $663.43	Professional		$464.51	$639.74	$663.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,532.37 / $4,117.10 / $5,578.02	Facility		$3,532.37	$4,117.10	$5,578.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $623.12 / $1,107.77	Professional		$131.82	$623.12	$1,107.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.14 / $513.03 / $980.47	Professional		$382.14	$513.03	$980.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $490.55 / $2,877.00 / $4,933.00	Facility		$490.55	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $490.55 / $544.57 / $803.59	Professional		$490.55	$544.57	$803.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $326.24 / $516.46	Professional		$67.94	$326.24	$516.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $11,323.87	Facility		$2,524.00	$5,819.00	$11,323.87
United Facility/Professional Professional Modifier Low / Median / High Price $483.31 / $575.01 / $756.94	Professional		$483.31	$575.01	$756.94