Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.77 / $2,877.00 / $4,933.00	Facility		$652.77	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.94 / $642.27 / $677.88	Professional		$459.94	$642.27	$677.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.68 / $729.02 / $1,323.75	Professional		$135.68	$729.02	$1,323.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.61 / $597.59 / $1,065.88	Professional		$371.61	$597.59	$1,065.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $554.04 / $2,877.00 / $4,933.00	Facility		$554.04	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $509.84 / $582.67 / $846.64	Professional		$509.84	$582.67	$846.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $335.22 / $589.67	Professional		$68.56	$335.22	$589.67
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 $527.27 / $632.72 / $838.27	Professional		$527.27	$632.72	$838.27