Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $1,530.76 / $4,933.00	Facility		$147.77	$1,530.76	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $517.38 / $793.48	Professional		$122.10	$517.38	$793.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $761.01 / $1,031.05	Facility		$652.92	$761.01	$1,031.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $193.46 / $307.41	Professional		$31.32	$193.46	$307.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.36 / $437.98 / $1,161.91	Professional		$135.36	$437.98	$1,161.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $727.91 / $4,112.00 / $4,933.00	Facility		$727.91	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.77 / $840.20 / $1,088.00	Professional		$147.77	$840.20	$1,088.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.37 / $611.71 / $875.98	Professional		$489.37	$611.71	$875.98
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.65 / $1,017.19 / $1,350.48	Professional		$826.65	$1,017.19	$1,350.48