Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.53 / $4,112.00 / $4,933.00	Facility		$644.53	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.91 / $644.53 / $669.32	Professional		$452.91	$644.53	$669.32
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 $128.43 / $778.34 / $1,342.65	Professional		$128.43	$778.34	$1,342.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.97 / $531.40 / $1,074.17	Professional		$373.97	$531.40	$1,074.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $461.22 / $4,112.00 / $4,933.00	Facility		$461.22	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $461.22 / $530.40 / $745.01	Professional		$461.22	$530.40	$745.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $363.83 / $610.76	Professional		$68.50	$363.83	$610.76
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 $473.06 / $552.41 / $715.65	Professional		$473.06	$552.41	$715.65