Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.13 / $839.02 / $4,933.00	Facility		$697.13	$839.02	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $697.13 / $839.02	Professional		$492.75	$697.13	$839.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,733.56 / $3,186.06 / $4,316.60	Facility		$2,733.56	$3,186.06	$4,316.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $564.90 / $1,005.34	Professional		$153.65	$564.90	$1,005.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.15 / $675.02 / $2,504.84	Professional		$510.15	$675.02	$2,504.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $690.53 / $2,877.00 / $4,933.00	Facility		$690.53	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $656.79 / $697.13 / $947.16	Professional		$656.79	$697.13	$947.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $483.79 / $801.90	Professional		$68.01	$483.79	$801.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,806.00 / $8,884.00	Facility		$2,524.00	$5,806.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.05 / $776.74 / $1,076.99	Professional		$670.05	$776.74	$1,076.99