Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.56 / $4,112.00 / $4,933.00	Facility		$789.56	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $789.56 / $819.93	Professional		$555.50	$789.56	$819.93
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 $179.30 / $1,009.28 / $1,574.48	Professional		$179.30	$1,009.28	$1,574.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $756.03 / $1,313.44	Professional		$455.09	$756.03	$1,313.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $596.41 / $4,112.00 / $4,933.00	Facility		$596.41	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $596.41 / $677.51 / $1,020.00	Professional		$596.41	$677.51	$1,020.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $413.70 / $709.09	Professional		$68.50	$413.70	$709.09
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 $625.00 / $766.66 / $1,116.00	Professional		$625.00	$766.66	$1,116.00