Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.32 / $4,112.00 / $4,933.00	Facility		$742.32	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.30 / $742.32 / $770.87	Professional		$521.30	$742.32	$770.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,896.18 / $2,225.56 / $3,015.28	Facility		$1,896.18	$2,225.56	$3,015.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $640.32 / $1,403.15	Professional		$169.26	$640.32	$1,403.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.78 / $673.74 / $1,234.49	Professional		$428.78	$673.74	$1,234.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $588.16 / $4,112.00 / $4,933.00	Facility		$588.16	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $583.19 / $648.14 / $947.13	Professional		$583.19	$648.14	$947.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $673.90	Professional		$68.50	$397.60	$673.90
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 $574.22 / $689.48 / $948.09	Professional		$574.22	$689.48	$948.09