Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.42 / $2,056.00 / $4,933.00	Facility		$513.42	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.46 / $528.78 / $893.83	Professional		$360.46	$528.78	$893.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,165.73 / $2,541.92 / $3,443.90	Facility		$2,165.73	$2,541.92	$3,443.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $609.03 / $1,050.58	Professional		$107.67	$609.03	$1,050.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.68 / $545.70 / $967.28	Professional		$379.68	$545.70	$967.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $531.17 / $2,056.00 / $4,933.00	Facility		$531.17	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $442.81 / $553.01 / $893.83	Professional		$442.81	$553.01	$893.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.46 / $378.84 / $617.93	Professional		$68.46	$378.84	$617.93
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.95 / $617.76 / $836.76	Professional		$525.95	$617.76	$836.76