Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.86 / $4,112.00 / $4,933.00	Facility		$719.86	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $719.86 / $747.55	Professional		$506.19	$719.86	$747.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,157.49 / $3,705.97 / $5,021.00	Facility		$3,157.49	$3,705.97	$5,021.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $598.55 / $1,381.93	Professional		$162.81	$598.55	$1,381.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.11 / $688.26 / $1,197.25	Professional		$415.11	$688.26	$1,197.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $581.75 / $4,112.00 / $4,933.00	Facility		$581.75	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $564.16 / $639.91 / $933.66	Professional		$564.16	$639.91	$933.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $655.70	Professional		$68.50	$397.60	$655.70
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 $557.75 / $705.43 / $974.28	Professional		$557.75	$705.43	$974.28