Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.67 / $4,933.00 / $4,933.00	Facility		$846.67	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.70 / $846.67 / $879.24	Professional		$605.70	$846.67	$879.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,602.36 / $6,575.53 / $8,908.79	Facility		$5,602.36	$6,575.53	$8,908.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.63 / $695.00 / $1,124.43	Professional		$197.63	$695.00	$1,124.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.40 / $801.80 / $1,459.23	Professional		$492.40	$801.80	$1,459.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $773.92 / $846.67 / $6,906.00	Facility		$773.92	$846.67	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $667.26 / $773.92 / $1,098.13	Professional		$667.26	$773.92	$1,098.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $472.60 / $765.46	Professional		$68.56	$472.60	$765.46
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 $649.27 / $845.40 / $1,181.98	Professional		$649.27	$845.40	$1,181.98