Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.43 / $4,933.00 / $4,933.00	Facility		$768.43	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.02 / $768.43 / $796.89	Professional		$517.02	$768.43	$796.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,509.90 / $2,927.71 / $4,119.08	Facility		$2,509.90	$2,927.71	$4,119.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $804.24 / $1,142.86	Professional		$143.91	$804.24	$1,142.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.69 / $865.81 / $1,019.33	Professional		$514.69	$865.81	$1,019.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $604.91 / $4,933.00 / $4,933.00	Facility		$604.91	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $604.91 / $639.14 / $796.89	Professional		$604.91	$639.14	$796.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $473.98 / $590.00 / $869.70	Professional		$473.98	$590.00	$869.70
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 $687.98 / $807.50 / $1,107.83	Professional		$687.98	$807.50	$1,107.83