Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.55 / $2,056.00 / $4,933.00	Facility		$858.55	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.59 / $858.55 / $891.57	Professional		$612.59	$858.55	$891.57
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 $193.77 / $1,070.84 / $1,701.59	Professional		$193.77	$1,070.84	$1,701.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.13 / $722.28 / $1,464.69	Professional		$496.13	$722.28	$1,464.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $623.82 / $2,056.00 / $4,933.00	Facility		$623.82	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $623.82 / $717.39 / $1,013.15	Professional		$623.82	$717.39	$1,013.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $466.41 / $778.09	Professional		$68.50	$466.41	$778.09
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 $623.82 / $734.03 / $974.74	Professional		$623.82	$734.03	$974.74