Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.77 / $4,933.00 / $5,757.00	Facility		$650.77	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.05 / $650.77 / $674.87	Professional		$471.05	$650.77	$674.87
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 $142.03 / $519.63 / $1,177.27	Professional		$142.03	$519.63	$1,177.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.14 / $529.16 / $992.90	Professional		$390.14	$529.16	$992.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $481.54 / $4,933.00 / $5,757.00	Facility		$481.54	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $481.54 / $553.47 / $825.43	Professional		$481.54	$553.47	$825.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $329.60 / $573.98	Professional		$67.99	$329.60	$573.98
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 $501.76 / $591.66 / $766.54	Professional		$501.76	$591.66	$766.54