Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.27 / $4,933.00 / $4,933.00	Facility		$811.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.54 / $811.27 / $841.32	Professional		$575.54	$811.27	$841.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,981.80 / $3,475.40 / $4,708.60	Facility		$2,981.80	$3,475.40	$4,708.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $889.90 / $1,201.36	Professional		$169.08	$889.90	$1,201.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.62 / $904.84 / $1,135.61	Professional		$539.62	$904.84	$1,135.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $675.10 / $4,933.00 / $4,933.00	Facility		$675.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $675.10 / $689.18 / $902.19	Professional		$675.10	$689.18	$902.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.83 / $627.54 / $926.06	Professional		$501.83	$627.54	$926.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.08 / $877.64 / $1,242.18	Professional		$693.08	$877.64	$1,242.18