Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $4,933.00 / $5,757.00	Facility		$676.00	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.93 / $636.32 / $704.82	Professional		$481.93	$636.32	$704.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.07 / $4,798.18 / $6,500.78	Facility		$4,088.07	$4,798.18	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $552.23 / $859.08	Professional		$129.72	$552.23	$859.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.65 / $667.11 / $1,161.58	Professional		$393.65	$667.11	$1,161.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $576.67 / $4,933.00 / $5,757.00	Facility		$576.67	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $533.40 / $593.19 / $876.77	Professional		$533.40	$593.19	$876.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $394.95 / $654.54	Professional		$68.50	$394.95	$654.54
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 $556.33 / $665.72 / $924.70	Professional		$556.33	$665.72	$924.70