Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.33 / $4,933.00 / $4,933.00	Facility		$713.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $570.37 / $740.76	Professional		$467.25	$570.37	$740.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.80 / $2,182.86 / $2,957.43	Facility		$1,859.80	$2,182.86	$2,957.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.58 / $599.96 / $1,439.88	Professional		$152.58	$599.96	$1,439.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.23 / $591.04 / $1,190.05	Professional		$414.23	$591.04	$1,190.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $564.07 / $713.33 / $6,906.00	Facility		$564.07	$713.33	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $562.39 / $620.47 / $890.61	Professional		$562.39	$620.47	$890.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.46 / $382.04 / $638.15	Professional		$68.46	$382.04	$638.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,166.63 / $3,260.00 / $6,036.00	Facility		$1,166.63	$3,260.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.48 / $640.76 / $892.78	Professional		$527.48	$640.76	$892.78