Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.59 / $4,112.00 / $4,933.00	Facility		$877.59	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.83 / $816.58 / $910.09	Professional		$524.83	$816.58	$910.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,371.36 / $8,598.45 / $12,097.39	Facility		$7,371.36	$8,598.45	$12,097.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $644.13 / $1,059.86	Professional		$188.28	$644.13	$1,059.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.67 / $817.78 / $1,100.05	Professional		$594.67	$817.78	$1,100.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $670.32 / $4,112.00 / $4,933.00	Facility		$670.32	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $670.32 / $753.82 / $979.38	Professional		$670.32	$753.82	$979.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $572.05 / $866.16	Professional		$65.89	$572.05	$866.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.34 / $853.98 / $1,119.89	Professional		$717.34	$853.98	$1,119.89