Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.16 / $4,112.00 / $4,933.00	Facility		$687.16	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.93 / $575.62 / $812.31	Professional		$403.93	$575.62	$812.31
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 $139.68 / $862.75 / $1,370.92	Professional		$139.68	$862.75	$1,370.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.40 / $569.86 / $1,080.35	Professional		$396.40	$569.86	$1,080.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $540.23 / $4,112.00 / $4,933.00	Facility		$540.23	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $518.48 / $594.25 / $854.02	Professional		$518.48	$594.25	$854.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $389.02 / $632.23	Professional		$68.66	$389.02	$632.23
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 $460.14 / $574.69 / $812.91	Professional		$460.14	$574.69	$812.91