Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.90 / $2,877.00 / $4,933.00	Facility		$567.90	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $567.90 / $588.94	Professional		$411.71	$567.90	$588.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.85 / $2,174.71 / $2,946.39	Facility		$1,865.85	$2,174.71	$2,946.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.70 / $656.34 / $1,095.08	Professional		$124.70	$656.34	$1,095.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.24 / $453.57 / $794.72	Professional		$336.24	$453.57	$794.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $457.20 / $2,877.00 / $4,933.00	Facility		$457.20	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $457.20 / $485.00 / $706.79	Professional		$457.20	$485.00	$706.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $338.53 / $503.55	Professional		$64.69	$338.53	$503.55
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 $434.00 / $510.70 / $706.91	Professional		$434.00	$510.70	$706.91