Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.41 / $4,933.00 / $5,757.00	Facility		$579.41	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.05 / $576.16 / $601.70	Professional		$409.05	$576.16	$601.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,092.23 / $2,455.66 / $3,327.03	Facility		$2,092.23	$2,455.66	$3,327.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $731.79 / $1,180.29	Professional		$122.13	$731.79	$1,180.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.36 / $524.47 / $950.68	Professional		$329.36	$524.47	$950.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $536.23 / $4,933.00 / $5,757.00	Facility		$536.23	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $452.85 / $536.23 / $751.50	Professional		$452.85	$536.23	$751.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $343.73 / $549.93	Professional		$65.66	$343.73	$549.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.37 / $556.51 / $735.55	Professional		$455.37	$556.51	$735.55