Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $4,112.00 / $4,933.00	Facility		$578.29	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.11 / $578.29 / $600.54	Professional		$406.11	$578.29	$600.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.90 / $3,877.99 / $9,106.93	Facility		$2,871.90	$3,877.99	$9,106.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $560.92 / $1,125.34	Professional		$119.19	$560.92	$1,125.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.45 / $508.61 / $970.52	Professional		$334.45	$508.61	$970.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $465.70 / $4,112.00 / $4,933.00	Facility		$465.70	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $458.31 / $512.27 / $750.06	Professional		$458.31	$512.27	$750.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $321.19 / $529.87	Professional		$68.50	$321.19	$529.87
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 $458.37 / $535.79 / $735.39	Professional		$458.37	$535.79	$735.39