Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.91 / $4,112.00 / $4,933.00	Facility		$522.91	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.86 / $522.91 / $543.03	Professional		$377.86	$522.91	$543.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $628.45 / $1,018.09	Professional		$115.38	$628.45	$1,018.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.37 / $555.15 / $1,027.45	Professional		$307.37	$555.15	$1,027.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $486.45 / $4,112.00 / $4,933.00	Facility		$486.45	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $409.25 / $486.45 / $715.27	Professional		$409.25	$486.45	$715.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $310.84 / $501.83	Professional		$65.27	$310.84	$501.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.82 / $564.04 / $728.25	Professional		$475.82	$564.04	$728.25