Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.87 / $4,933.00 / $4,933.00	Facility		$412.87	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $374.08 / $412.87	Professional		$315.80	$374.08	$412.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,010.33 / $21,329.39 / $41,210.21	Facility		$11,010.33	$21,329.39	$41,210.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $371.76 / $1,777.15	Professional		$81.53	$371.76	$1,777.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $437.47 / $559.92	Professional		$270.91	$437.47	$559.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $361.10 / $4,933.00 / $4,933.00	Facility		$361.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $361.10 / $412.87 / $580.74	Professional		$361.10	$412.87	$580.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.57 / $292.19 / $427.94	Professional		$235.57	$292.19	$427.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $11,152.00 / $25,000.00	Facility		$5,000.00	$11,152.00	$25,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.73 / $447.16 / $704.35	Professional		$374.73	$447.16	$704.35