Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.90 / $4,933.00 / $4,933.00	Facility		$668.90	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.65 / $571.52 / $694.62	Professional		$469.65	$571.52	$694.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,597.88 / $7,584.24	Facility		$4,769.39	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $671.02 / $1,326.87	Professional		$135.19	$671.02	$1,326.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.07 / $607.42 / $1,108.05	Professional		$390.07	$607.42	$1,108.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $539.29 / $668.90 / $6,906.00	Facility		$539.29	$668.90	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $519.01 / $593.16 / $867.56	Professional		$519.01	$593.16	$867.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $367.22 / $613.81	Professional		$68.50	$367.22	$613.81
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 $540.89 / $634.02 / $884.42	Professional		$540.89	$634.02	$884.42