Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.54 / $2,877.00 / $4,933.00	Facility		$732.54	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.74 / $732.54 / $910.75	Professional		$533.74	$732.54	$910.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.56 / $1,321.08 / $1,789.85	Facility		$1,125.56	$1,321.08	$1,789.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $613.45 / $1,014.78	Professional		$150.01	$613.45	$1,014.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.54 / $721.06 / $1,316.97	Professional		$428.54	$721.06	$1,316.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $727.01 / $2,877.00 / $4,933.00	Facility		$727.01	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $645.48 / $736.75 / $1,025.92	Professional		$645.48	$736.75	$1,025.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $455.47 / $788.02	Professional		$67.55	$455.47	$788.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $3,523.00 / $6,036.00	Facility		$1,006.00	$3,523.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.39 / $826.83 / $1,184.22	Professional		$611.39	$826.83	$1,184.22