Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.54 / $2,056.00 / $4,933.00	Facility		$630.54	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.30 / $542.66 / $822.75	Professional		$443.30	$542.66	$822.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.59 / $1,594.59 / $2,160.41	Facility		$1,358.59	$1,594.59	$2,160.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $760.42 / $1,268.72	Professional		$144.49	$760.42	$1,268.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.33 / $524.54 / $1,047.50	Professional		$365.33	$524.54	$1,047.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $2,056.00 / $4,933.00	Facility		$487.58	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $487.58 / $543.67 / $822.75	Professional		$487.58	$543.67	$822.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $351.43 / $577.11	Professional		$68.50	$351.43	$577.11
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 $481.32 / $571.98 / $773.59	Professional		$481.32	$571.98	$773.59