Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.79 / $4,933.00 / $5,757.00	Facility		$617.79	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.74 / $617.79 / $641.55	Professional		$439.74	$617.79	$641.55
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 $149.88 / $749.46 / $1,292.82	Professional		$149.88	$749.46	$1,292.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.72 / $628.54 / $1,070.78	Professional		$364.72	$628.54	$1,070.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $591.17 / $4,933.00 / $5,757.00	Facility		$591.17	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $487.97 / $591.17 / $840.22	Professional		$487.97	$591.17	$840.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $341.93 / $580.44	Professional		$68.38	$341.93	$580.44
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 $523.94 / $657.84 / $909.54	Professional		$523.94	$657.84	$909.54