Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.77 / $852.83 / $4,933.00	Facility		$617.77	$852.83	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.05 / $641.00 / $852.83	Professional		$471.05	$641.00	$852.83
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 $137.36 / $817.01 / $1,211.97	Professional		$137.36	$817.01	$1,211.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.12 / $696.50 / $1,166.71	Professional		$455.12	$696.50	$1,166.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $617.77 / $821.24 / $4,933.00	Facility		$617.77	$821.24	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $617.77 / $687.05 / $1,038.23	Professional		$617.77	$687.05	$1,038.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $435.40 / $751.76	Professional		$68.44	$435.40	$751.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.49 / $805.56 / $1,099.99	Professional		$675.49	$805.56	$1,099.99