Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.77 / $2,877.00 / $4,933.00	Facility		$808.77	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.94 / $808.77 / $839.87	Professional		$567.94	$808.77	$839.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $647.74 / $1,569.10	Professional		$164.65	$647.74	$1,569.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.24 / $679.79 / $1,344.66	Professional		$466.24	$679.79	$1,344.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $644.29 / $2,877.00 / $4,933.00	Facility		$644.29	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $634.94 / $708.71 / $1,007.45	Professional		$634.94	$708.71	$1,007.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $444.18 / $726.46	Professional		$68.50	$444.18	$726.46
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 $527.15 / $730.92 / $1,028.99	Professional		$527.15	$730.92	$1,028.99