Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.68 / $2,877.00 / $4,933.00	Facility		$979.68	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.67 / $979.68 / $1,241.16	Professional		$610.67	$979.68	$1,241.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.13 / $1,541.22 / $2,088.11	Facility		$1,313.13	$1,541.22	$2,088.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.68 / $1,152.33 / $1,953.21	Professional		$205.68	$1,152.33	$1,953.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.51 / $800.46 / $1,757.14	Professional		$544.51	$800.46	$1,757.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $679.07 / $2,877.00 / $4,933.00	Facility		$679.07	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $679.07 / $909.96 / $1,533.91	Professional		$679.07	$909.96	$1,533.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $613.05 / $1,074.10	Professional		$67.77	$613.05	$1,074.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.09 / $853.93 / $1,192.07	Professional		$669.09	$853.93	$1,192.07