Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.80 / $976.00 / $4,933.00	Facility		$767.80	$976.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.14 / $767.80 / $976.00	Professional		$553.14	$767.80	$976.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.40 / $1,047.10 / $1,418.67	Facility		$898.40	$1,047.10	$1,418.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $668.71 / $1,349.93	Professional		$169.99	$668.71	$1,349.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.83 / $787.87 / $2,837.19	Professional		$561.83	$787.87	$2,837.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $767.80 / $831.67 / $4,933.00	Facility		$767.80	$831.67	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $767.80 / $831.67 / $1,123.28	Professional		$767.80	$831.67	$1,123.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $590.13 / $966.34	Professional		$102.24	$590.13	$966.34
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 $790.13 / $929.62 / $1,257.54	Professional		$790.13	$929.62	$1,257.54