Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.36 / $796.05 / $4,933.00	Facility		$584.36	$796.05	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.80 / $606.84 / $796.05	Professional		$456.80	$606.84	$796.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.07 / $4,772.00 / $6,500.78	Facility		$4,088.07	$4,772.00	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $748.84 / $1,365.33	Professional		$124.98	$748.84	$1,365.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.05 / $641.34 / $949.40	Professional		$428.05	$641.34	$949.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $637.47 / $4,933.00 / $4,933.00	Facility		$637.47	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $584.36 / $637.47 / $960.65	Professional		$584.36	$637.47	$960.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $460.45 / $746.43	Professional		$68.66	$460.45	$746.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.59 / $771.31 / $1,053.05	Professional		$625.59	$771.31	$1,053.05