Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.34 / $2,056.00 / $4,933.00	Facility		$654.34	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.16 / $570.69 / $742.86	Professional		$476.16	$570.69	$742.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $791.79 / $1,270.82	Professional		$139.97	$791.79	$1,270.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.09 / $594.88 / $1,088.90	Professional		$417.09	$594.88	$1,088.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $548.79 / $2,056.00 / $4,933.00	Facility		$548.79	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $537.16 / $631.10 / $868.93	Professional		$537.16	$631.10	$868.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $394.00 / $654.54	Professional		$68.50	$394.00	$654.54
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.09 / $644.53 / $878.67	Professional		$542.09	$644.53	$878.67