Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.69 / $2,056.00 / $4,933.00	Facility		$623.69	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.58 / $528.76 / $690.61	Professional		$403.58	$528.76	$690.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.58 / $255.48 / $359.44	Facility		$216.58	$255.48	$359.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $717.19 / $1,259.58	Professional		$121.92	$717.19	$1,259.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.71 / $563.70 / $1,037.34	Professional		$387.71	$563.70	$1,037.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $509.79 / $2,056.00 / $4,933.00	Facility		$509.79	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $498.99 / $596.45 / $808.93	Professional		$498.99	$596.45	$808.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $315.49 / $615.87	Professional		$65.50	$315.49	$615.87
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.81 / $599.66 / $854.14	Professional		$499.81	$599.66	$854.14