Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.89 / $4,112.00 / $4,933.00	Facility		$639.89	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.36 / $511.98 / $664.50	Professional		$450.36	$511.98	$664.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $768.38 / $1,325.46	Professional		$130.63	$768.38	$1,325.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.78 / $579.48 / $1,066.05	Professional		$369.78	$579.48	$1,066.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $503.07 / $4,112.00 / $4,933.00	Facility		$503.07	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $501.98 / $553.37 / $820.73	Professional		$501.98	$553.37	$820.73
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 $3,296.00 / $7,849.00 / $15,078.00	Facility		$3,296.00	$7,849.00	$15,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.46 / $590.65 / $789.79	Professional		$497.46	$590.65	$789.79