Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.37 / $4,933.00 / $4,933.00	Facility		$739.37	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $739.37 / $767.81	Professional		$519.62	$739.37	$767.81
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 $167.14 / $883.92 / $1,474.78	Professional		$167.14	$883.92	$1,474.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.96 / $670.55 / $1,228.47	Professional		$425.96	$670.55	$1,228.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $580.22 / $739.37 / $6,906.00	Facility		$580.22	$739.37	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $579.04 / $638.24 / $942.56	Professional		$579.04	$638.24	$942.56
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 $571.27 / $678.99 / $934.86	Professional		$571.27	$678.99	$934.86