Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.86 / $1,370.00 / $4,933.00	Facility		$586.86	$1,370.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.49 / $586.86 / $826.06	Professional		$434.49	$586.86	$826.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.42 / $2,159.06 / $2,925.19	Facility		$1,852.42	$2,159.06	$2,925.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $726.66 / $1,027.92	Professional		$145.33	$726.66	$1,027.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.32 / $579.77 / $2,123.58	Professional		$434.32	$579.77	$2,123.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $631.63 / $1,438.50 / $4,933.00	Facility		$631.63	$1,438.50	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $526.32 / $631.63 / $928.01	Professional		$526.32	$631.63	$928.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $456.66 / $718.77	Professional		$68.25	$456.66	$718.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.65 / $705.55 / $907.89	Professional		$586.65	$705.55	$907.89