Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.19 / $4,112.00 / $4,933.00	Facility		$653.19	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.28 / $566.02 / $836.43	Professional		$471.28	$566.02	$836.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,346.11 / $4,518.33 / $10,610.69	Facility		$3,346.11	$4,518.33	$10,610.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $744.15 / $1,351.24	Professional		$148.12	$744.15	$1,351.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.85 / $579.33 / $1,087.52	Professional		$376.85	$579.33	$1,087.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $518.82 / $4,112.00 / $4,933.00	Facility		$518.82	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $513.28 / $570.70 / $847.19	Professional		$513.28	$570.70	$847.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $352.00 / $598.28	Professional		$68.50	$352.00	$598.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.17 / $9,133.19 / $12,767.00	Facility		$2,365.17	$9,133.19	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.38 / $606.27 / $819.89	Professional		$514.38	$606.27	$819.89