Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.19 / $2,877.00 / $4,933.00	Facility		$656.19	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.39 / $624.52 / $681.42	Professional		$456.39	$624.52	$681.42
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 $131.72 / $736.12 / $1,292.82	Professional		$131.72	$736.12	$1,292.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.86 / $568.82 / $1,071.11	Professional		$367.86	$568.82	$1,071.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $492.30 / $2,877.00 / $4,933.00	Facility		$492.30	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $492.30 / $566.14 / $866.17	Professional		$492.30	$566.14	$866.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $430.88 / $653.12	Professional		$65.66	$430.88	$653.12
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 $492.27 / $597.17 / $835.12	Professional		$492.27	$597.17	$835.12