Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.76 / $2,877.00 / $4,933.00	Facility		$808.76	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.89 / $808.76 / $853.04	Professional		$561.89	$808.76	$853.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.41 / $2,197.66 / $2,977.48	Facility		$1,872.41	$2,197.66	$2,977.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $719.71 / $1,511.38	Professional		$169.66	$719.71	$1,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.83 / $678.02 / $1,380.45	Professional		$466.83	$678.02	$1,380.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $584.49 / $2,877.00 / $4,933.00	Facility		$584.49	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $584.49 / $672.16 / $927.96	Professional		$584.49	$672.16	$927.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $440.04 / $747.56	Professional		$68.44	$440.04	$747.56
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 $579.72 / $682.89 / $923.32	Professional		$579.72	$682.89	$923.32