Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.95 / $4,933.00 / $6,853.00	Facility		$586.95	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.03 / $586.95 / $609.53	Professional		$413.03	$586.95	$609.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $594.54 / $1,175.67	Professional		$119.79	$594.54	$1,175.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.83 / $539.09 / $978.23	Professional		$339.83	$539.09	$978.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $463.41 / $4,933.00 / $6,853.00	Facility		$463.41	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $460.57 / $513.16 / $742.37	Professional		$460.57	$513.16	$742.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $332.95 / $546.71	Professional		$68.50	$332.95	$546.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.94 / $541.36 / $730.09	Professional		$455.94	$541.36	$730.09