Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.08 / $940.88 / $4,933.00	Facility		$813.08	$940.88	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.24 / $813.08 / $940.88	Professional		$615.24	$813.08	$940.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,817.95 / $2,118.89 / $2,870.76	Facility		$1,817.95	$2,118.89	$2,870.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $658.89 / $1,317.78	Professional		$170.26	$658.89	$1,317.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.82 / $825.73 / $2,900.50	Professional		$577.82	$825.73	$2,900.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $883.39 / $2,877.00 / $4,933.00	Facility		$883.39	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $759.97 / $883.39 / $1,113.21	Professional		$759.97	$883.39	$1,113.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $550.56 / $885.93	Professional		$68.01	$550.56	$885.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,523.00 / $6,327.00	Facility		$1,050.00	$3,523.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.88 / $968.39 / $1,247.86	Professional		$752.88	$968.39	$1,247.86