Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.46 / $4,112.00 / $4,933.00	Facility		$645.46	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.02 / $645.46 / $670.28	Professional		$454.02	$645.46	$670.28
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 $131.72 / $523.03 / $1,255.28	Professional		$131.72	$523.03	$1,255.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.89 / $598.03 / $1,071.25	Professional		$372.89	$598.03	$1,071.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $513.79 / $4,112.00 / $4,933.00	Facility		$513.79	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $506.24 / $565.16 / $825.93	Professional		$506.24	$565.16	$825.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $351.43 / $577.11	Professional		$68.50	$351.43	$577.11
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 $515.72 / $609.75 / $803.58	Professional		$515.72	$609.75	$803.58