Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.67 / $4,112.00 / $4,933.00	Facility		$731.67	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.02 / $731.67 / $759.81	Professional		$514.02	$731.67	$759.81
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 $166.43 / $739.08 / $1,511.01	Professional		$166.43	$739.08	$1,511.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.71 / $667.21 / $1,215.80	Professional		$421.71	$667.21	$1,215.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $576.28 / $4,112.00 / $4,933.00	Facility		$576.28	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $573.46 / $633.90 / $938.41	Professional		$573.46	$633.90	$938.41
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 $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 $564.42 / $666.77 / $853.78	Professional		$564.42	$666.77	$853.78