Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.78 / $962.37 / $4,933.00	Facility		$763.78	$962.37	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $763.79 / $1,050.68	Professional		$568.95	$763.79	$1,050.68
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 $167.79 / $586.04 / $1,233.75	Professional		$167.79	$586.04	$1,233.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.59 / $744.06 / $2,719.21	Professional		$561.59	$744.06	$2,719.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $763.79 / $989.46 / $4,933.00	Facility		$763.79	$989.46	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $669.91 / $813.44 / $1,145.68	Professional		$669.91	$813.44	$1,145.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $549.17 / $906.08	Professional		$68.25	$549.17	$906.08
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 $754.70 / $907.12 / $1,182.95	Professional		$754.70	$907.12	$1,182.95