Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.44 / $2,877.00 / $4,933.00	Facility		$803.44	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $803.44 / $803.44	Professional		$605.91	$803.44	$803.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.84 / $5,597.88 / $7,584.24	Facility		$4,802.84	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $622.88 / $996.62	Professional		$161.35	$622.88	$996.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.02 / $697.56 / $2,493.81	Professional		$583.02	$697.56	$2,493.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $645.41 / $2,877.00 / $4,933.00	Facility		$645.41	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $645.22 / $681.34 / $989.50	Professional		$645.22	$681.34	$989.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $536.43 / $756.36	Professional		$65.27	$536.43	$756.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,806.00 / $8,884.00	Facility		$2,524.00	$5,806.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.88 / $787.03 / $1,078.42	Professional		$575.88	$787.03	$1,078.42