Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.33 / $4,112.00 / $4,933.00	Facility		$765.33	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.98 / $662.02 / $794.77	Professional		$537.98	$662.02	$794.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,259.33 / $3,825.49 / $5,182.93	Facility		$3,259.33	$3,825.49	$5,182.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $962.09 / $1,443.14	Professional		$179.14	$962.09	$1,443.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.41 / $731.55 / $1,272.60	Professional		$441.41	$731.55	$1,272.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $632.37 / $4,112.00 / $4,933.00	Facility		$632.37	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $599.95 / $685.66 / $991.30	Professional		$599.95	$685.66	$991.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $696.82	Professional		$68.50	$397.60	$696.82
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 $564.63 / $740.99 / $995.16	Professional		$564.63	$740.99	$995.16