Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.27 / $664.51 / $4,933.00	Facility		$592.27	$664.51	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.75 / $592.27 / $664.51	Professional		$430.75	$592.27	$664.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.10 / $2,765.94 / $3,747.40	Facility		$2,373.10	$2,765.94	$3,747.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $730.44 / $1,199.45	Professional		$130.71	$730.44	$1,199.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.90 / $550.84 / $2,202.71	Professional		$429.90	$550.84	$2,202.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $579.42 / $4,112.00 / $4,933.00	Facility		$579.42	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $527.89 / $592.27 / $780.79	Professional		$527.89	$592.27	$780.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $367.70 / $650.60	Professional		$67.94	$367.70	$650.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.91 / $644.29 / $812.65	Professional		$525.91	$644.29	$812.65