Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.25 / $2,877.00 / $4,933.00	Facility		$617.25	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.50 / $492.53 / $824.47	Professional		$402.50	$492.53	$824.47
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 $127.07 / $467.16 / $1,247.11	Professional		$127.07	$467.16	$1,247.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.92 / $556.45 / $1,040.66	Professional		$358.92	$556.45	$1,040.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $483.55 / $2,877.00 / $4,933.00	Facility		$483.55	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $462.03 / $531.90 / $833.33	Professional		$462.03	$531.90	$833.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $349.89 / $576.72	Professional		$68.50	$349.89	$576.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $569.52 / $771.80	Professional		$483.55	$569.52	$771.80