Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.50 / $834.44 / $4,933.00	Facility		$758.50	$834.44	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.40 / $758.50 / $834.44	Professional		$526.40	$758.50	$834.44
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 $163.98 / $645.07 / $1,132.31	Professional		$163.98	$645.07	$1,132.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.47 / $699.70 / $2,573.90	Professional		$538.47	$699.70	$2,573.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $716.80 / $1,759.39 / $4,933.00	Facility		$716.80	$1,759.39	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $666.18 / $758.50 / $961.75	Professional		$666.18	$758.50	$961.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $512.63 / $775.92	Professional		$68.01	$512.63	$775.92
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 $659.36 / $781.43 / $1,068.28	Professional		$659.36	$781.43	$1,068.28