Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.76 / $4,933.00 / $4,933.00	Facility		$370.76	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $370.76 / $390.51	Professional		$250.80	$370.76	$390.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.79 / $544.79 / $544.79	Facility		$544.79	$544.79	$544.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $572.03 / $680.99	Professional		$517.54	$572.03	$680.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $343.32 / $370.76 / $4,933.00	Facility		$343.32	$370.76	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $343.32 / $370.76 / $530.54	Professional		$343.32	$370.76	$530.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $303.59 / $378.35 / $539.73	Professional		$303.59	$378.35	$539.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.08 / $463.71 / $660.30	Professional		$355.08	$463.71	$660.30