Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.13 / $4,112.00 / $4,933.00	Facility		$628.13	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $479.79 / $739.90	Professional		$410.52	$479.79	$739.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,339.52 / $3,919.62 / $5,310.46	Facility		$3,339.52	$3,919.62	$5,310.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $589.14 / $1,124.72	Professional		$121.40	$589.14	$1,124.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.81 / $550.85 / $982.96	Professional		$343.81	$550.85	$982.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $490.68 / $3,001.08 / $5,580.88	Facility		$490.68	$3,001.08	$5,580.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $450.71 / $540.85 / $817.59	Professional		$450.71	$540.85	$817.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $360.50 / $582.57	Professional		$65.56	$360.50	$582.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,574.00 / $8,339.00	Facility		$1,450.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.78 / $584.90 / $797.46	Professional		$476.78	$584.90	$797.46