Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.07 / $4,112.00 / $4,933.00	Facility		$687.07	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.06 / $681.82 / $713.50	Professional		$484.06	$681.82	$713.50
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 $150.94 / $781.05 / $1,371.74	Professional		$150.94	$781.05	$1,371.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.77 / $652.33 / $1,138.59	Professional		$393.77	$652.33	$1,138.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $581.05 / $4,112.00 / $4,933.00	Facility		$581.05	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $542.24 / $619.70 / $891.13	Professional		$542.24	$619.70	$891.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $365.34 / $631.06	Professional		$68.44	$365.34	$631.06
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 $544.79 / $665.37 / $906.01	Professional		$544.79	$665.37	$906.01