Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.39 / $4,112.00 / $4,933.00	Facility		$827.39	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.05 / $827.39 / $859.21	Professional		$522.05	$827.39	$859.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.02 / $2,584.52 / $3,501.62	Facility		$2,202.02	$2,584.52	$3,501.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $1,132.75 / $1,773.01	Professional		$187.15	$1,132.75	$1,773.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.67 / $715.33 / $1,379.19	Professional		$476.67	$715.33	$1,379.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $560.11 / $4,112.00 / $4,933.00	Facility		$560.11	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $560.11 / $642.52 / $957.30	Professional		$560.11	$642.52	$957.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $429.57 / $760.07	Professional		$68.56	$429.57	$760.07
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 $560.11 / $676.89 / $887.87	Professional		$560.11	$676.89	$887.87