Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.28 / $4,112.00 / $4,933.00	Facility		$769.28	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.73 / $769.28 / $798.86	Professional		$541.73	$769.28	$798.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.30 / $2,118.89 / $2,870.76	Facility		$1,805.30	$2,118.89	$2,870.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $1,023.61 / $1,587.46	Professional		$156.44	$1,023.61	$1,587.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.45 / $673.59 / $1,279.46	Professional		$443.45	$673.59	$1,279.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $614.47 / $4,112.00 / $4,933.00	Facility		$614.47	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $603.02 / $675.91 / $966.31	Professional		$603.02	$675.91	$966.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $696.82	Professional		$68.50	$397.60	$696.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.59 / $692.08 / $936.01	Professional		$568.59	$692.08	$936.01