Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.09 / $2,877.00 / $4,933.00	Facility		$573.09	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.75 / $491.97 / $710.80	Professional		$382.75	$491.97	$710.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $589.09 / $1,164.86	Professional		$123.44	$589.09	$1,164.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.47 / $519.22 / $955.75	Professional		$369.47	$519.22	$955.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $472.17 / $2,877.00 / $4,933.00	Facility		$472.17	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $465.20 / $545.49 / $782.41	Professional		$465.20	$545.49	$782.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $362.99 / $609.95	Professional		$33.96	$362.99	$609.95
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.20 / $552.54 / $765.63	Professional		$462.20	$552.54	$765.63