Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.20 / $2,877.00 / $4,933.00	Facility		$761.20	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.37 / $761.20 / $761.20	Professional		$537.37	$761.20	$761.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,083.16 / $2,428.00 / $3,289.55	Facility		$2,083.16	$2,428.00	$3,289.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.53 / $585.14 / $1,054.50	Professional		$167.53	$585.14	$1,054.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $614.97 / $2,583.66	Professional		$535.26	$614.97	$2,583.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $584.63 / $2,877.00 / $4,933.00	Facility		$584.63	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $584.63 / $643.78 / $873.21	Professional		$584.63	$643.78	$873.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $457.15 / $739.60	Professional		$68.25	$457.15	$739.60
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 $570.32 / $668.74 / $931.71	Professional		$570.32	$668.74	$931.71