Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.91 / $2,877.00 / $4,933.00	Facility		$732.91	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.92 / $732.91 / $761.10	Professional		$514.92	$732.91	$761.10
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 $156.53 / $912.03 / $1,463.14	Professional		$156.53	$912.03	$1,463.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.60 / $663.50 / $1,217.33	Professional		$422.60	$663.50	$1,217.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $575.47 / $2,877.00 / $4,933.00	Facility		$575.47	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $574.10 / $634.16 / $927.99	Professional		$574.10	$634.16	$927.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $673.90	Professional		$68.50	$397.60	$673.90
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 $571.72 / $670.67 / $907.05	Professional		$571.72	$670.67	$907.05