Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $4,112.00 / $4,933.00	Facility		$746.73	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $746.73 / $746.73	Professional		$527.54	$746.73	$746.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,363.98 / $2,757.50 / $3,879.61	Facility		$2,363.98	$2,757.50	$3,879.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $1,205.74 / $1,548.17	Professional		$183.27	$1,205.74	$1,548.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.96 / $605.29 / $2,530.57	Professional		$524.96	$605.29	$2,530.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $601.33 / $4,112.00 / $4,933.00	Facility		$601.33	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $601.33 / $689.85 / $854.10	Professional		$601.33	$689.85	$854.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $457.15 / $714.97	Professional		$68.25	$457.15	$714.97
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 $572.52 / $681.29 / $901.00	Professional		$572.52	$681.29	$901.00