Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.83 / $2,877.00 / $4,933.00	Facility		$649.83	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $649.83 / $674.83	Professional		$456.96	$649.83	$674.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,896.18 / $2,225.56 / $3,015.28	Facility		$1,896.18	$2,225.56	$3,015.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $780.84 / $1,253.25	Professional		$139.38	$780.84	$1,253.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.73 / $590.82 / $1,081.99	Professional		$375.73	$590.82	$1,081.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $507.24 / $2,877.00 / $4,933.00	Facility		$507.24	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $507.24 / $562.50 / $833.88	Professional		$507.24	$562.50	$833.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $351.43 / $577.11	Professional		$68.50	$351.43	$577.11
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 $508.63 / $600.77 / $814.26	Professional		$508.63	$600.77	$814.26