Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.38 / $4,112.00 / $4,933.00	Facility		$717.38	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.98 / $645.54 / $743.95	Professional		$496.98	$645.54	$743.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.32 / $743.41 / $1,045.92	Facility		$637.32	$743.41	$1,045.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $785.81 / $1,237.66	Professional		$133.58	$785.81	$1,237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.44 / $718.87 / $939.82	Professional		$424.44	$718.87	$939.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $601.82 / $4,112.00 / $4,933.00	Facility		$601.82	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $560.87 / $603.25 / $789.16	Professional		$560.87	$603.25	$789.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $479.22 / $714.71	Professional		$37.27	$479.22	$714.71
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.66 / $756.86 / $1,016.07	Professional		$623.66	$756.86	$1,016.07