Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.80 / $2,877.00 / $4,933.00	Facility		$625.80	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.66 / $625.80 / $677.96	Professional		$465.66	$625.80	$677.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,890.98 / $3,374.65 / $4,597.20	Facility		$2,890.98	$3,374.65	$4,597.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $523.54 / $837.66	Professional		$151.58	$523.54	$837.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.67 / $627.40 / $981.32	Professional		$379.67	$627.40	$981.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $476.88 / $2,877.00 / $4,933.00	Facility		$476.88	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $476.88 / $496.25 / $677.96	Professional		$476.88	$496.25	$677.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $451.51 / $674.83	Professional		$65.66	$451.51	$674.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,386.60 / $9,202.00	Facility		$2,500.00	$7,386.60	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.74 / $632.72 / $858.02	Professional		$551.74	$632.72	$858.02