Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.39 / $715.40 / $5,757.00	Facility		$715.39	$715.40	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.58 / $645.23 / $715.40	Professional		$508.58	$645.23	$715.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,591.71 / $3,041.90 / $4,121.29	Facility		$2,591.71	$3,041.90	$4,121.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $792.29 / $1,283.52	Professional		$134.69	$792.29	$1,283.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.35 / $666.02 / $1,087.99	Professional		$420.35	$666.02	$1,087.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $664.43 / $4,933.00 / $5,757.00	Facility		$664.43	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $551.41 / $664.43 / $901.40	Professional		$551.41	$664.43	$901.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $397.01 / $626.37	Professional		$102.91	$397.01	$626.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.54 / $742.01 / $924.12	Professional		$564.54	$742.01	$924.12