Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.33 / $2,877.00 / $4,933.00	Facility		$678.33	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.54 / $678.03 / $704.42	Professional		$489.54	$678.03	$704.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.22 / $5,450.96 / $7,385.19	Facility		$4,644.22	$5,450.96	$7,385.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $529.75 / $871.80	Professional		$137.22	$529.75	$871.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.08 / $669.57 / $1,264.21	Professional		$406.08	$669.57	$1,264.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $574.16 / $2,877.00 / $4,933.00	Facility		$574.16	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $530.79 / $606.62 / $879.79	Professional		$530.79	$606.62	$879.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $366.33 / $614.84	Professional		$68.44	$366.33	$614.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.80 / $704.10 / $1,024.70	Professional		$551.80	$704.10	$1,024.70