Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.31 / $974.50 / $4,933.00	Facility		$786.31	$974.50	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.79 / $786.31 / $1,011.88	Professional		$604.79	$786.31	$1,011.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,745.07 / $3,202.03 / $4,505.02	Facility		$2,745.07	$3,202.03	$4,505.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $856.31 / $1,128.85	Professional		$172.53	$856.31	$1,128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.59 / $763.41 / $2,806.98	Professional		$564.59	$763.41	$2,806.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $838.80 / $4,112.00 / $4,933.00	Facility		$838.80	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $725.64 / $838.80 / $1,105.40	Professional		$725.64	$838.80	$1,105.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $559.01 / $941.96	Professional		$68.25	$559.01	$941.96
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 $777.26 / $941.32 / $1,246.73	Professional		$777.26	$941.32	$1,246.73