Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.88 / $4,112.00 / $4,933.00	Facility		$623.88	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.55 / $623.88 / $647.87	Professional		$438.55	$623.88	$647.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,461.63 / $3,324.00 / $7,805.96	Facility		$2,461.63	$3,324.00	$7,805.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $786.41 / $1,291.97	Professional		$127.33	$786.41	$1,291.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.41 / $555.79 / $1,039.24	Professional		$360.41	$555.79	$1,039.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $494.22 / $4,112.00 / $4,933.00	Facility		$494.22	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $489.93 / $543.64 / $806.48	Professional		$489.93	$543.64	$806.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $332.95 / $565.53	Professional		$68.50	$332.95	$565.53
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 $490.00 / $578.35 / $792.36	Professional		$490.00	$578.35	$792.36