Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.52 / $2,877.00 / $4,933.00	Facility		$670.52	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.19 / $670.52 / $696.31	Professional		$472.19	$670.52	$696.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,911.81 / $2,243.90 / $3,040.13	Facility		$1,911.81	$2,243.90	$3,040.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $804.74 / $1,342.66	Professional		$136.81	$804.74	$1,342.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.46 / $558.26 / $1,116.48	Professional		$387.46	$558.26	$1,116.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $517.66 / $2,877.00 / $4,933.00	Facility		$517.66	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $517.66 / $576.09 / $835.90	Professional		$517.66	$576.09	$835.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $363.97 / $590.86	Professional		$68.50	$363.97	$590.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.22 / $605.58 / $922.08	Professional		$514.22	$605.58	$922.08