Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.52 / $2,877.00 / $4,933.00	Facility		$609.52	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.85 / $609.52 / $1,198.29	Professional		$425.85	$609.52	$1,198.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,649.33 / $1,925.27 / $2,622.75	Facility		$1,649.33	$1,925.27	$2,622.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $470.59 / $1,256.26	Professional		$133.12	$470.59	$1,256.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.62 / $661.07 / $911.99	Professional		$487.62	$661.07	$911.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $476.63 / $2,877.00 / $4,933.00	Facility		$476.63	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $476.63 / $545.74 / $997.01	Professional		$476.63	$545.74	$997.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $409.86 / $642.28	Professional		$65.66	$409.86	$642.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.69 / $602.94 / $763.94	Professional		$508.69	$602.94	$763.94