Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.97 / $4,933.00 / $6,853.00	Facility		$945.97	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.23 / $945.97 / $982.36	Professional		$665.23	$945.97	$982.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,280.42 / $6,197.67 / $8,396.85	Facility		$5,280.42	$6,197.67	$8,396.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.80 / $729.27 / $1,290.24	Professional		$209.80	$729.27	$1,290.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.84 / $831.65 / $1,578.09	Professional		$542.84	$831.65	$1,578.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $718.55 / $4,933.00 / $6,853.00	Facility		$718.55	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $718.55 / $806.39 / $1,179.83	Professional		$718.55	$806.39	$1,179.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $489.46 / $826.77	Professional		$68.44	$489.46	$826.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.31 / $864.54 / $1,179.17	Professional		$745.31	$864.54	$1,179.17