Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.87 / $4,797.00 / $4,933.00	Facility		$567.87	$4,797.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.19 / $567.87 / $588.90	Professional		$379.19	$567.87	$588.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.55 / $2,236.14 / $3,029.62	Facility		$1,918.55	$2,236.14	$3,029.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $625.96 / $669.48	Professional		$125.20	$625.96	$669.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.75 / $640.27 / $738.61	Professional		$380.75	$640.27	$738.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $442.94 / $4,797.00 / $4,933.00	Facility		$442.94	$4,797.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $442.94 / $449.65 / $588.90	Professional		$442.94	$449.65	$588.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.60 / $451.98 / $671.49	Professional		$359.60	$451.98	$671.49
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 $506.09 / $600.35 / $1,003.49	Professional		$506.09	$600.35	$1,003.49