Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.16 / $786.17 / $4,933.00	Facility		$786.16	$786.17	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.41 / $728.91 / $1,083.26	Professional		$558.41	$728.91	$1,083.26
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 $173.21 / $926.25 / $1,528.30	Professional		$173.21	$926.25	$1,528.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.80 / $685.97 / $2,678.94	Professional		$557.80	$685.97	$2,678.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $694.28 / $4,112.00 / $4,933.00	Facility		$694.28	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $624.33 / $729.00 / $1,018.15	Professional		$624.33	$729.00	$1,018.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $457.15 / $740.76	Professional		$68.25	$457.15	$740.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.76 / $757.46 / $972.91	Professional		$618.76	$757.46	$972.91