Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.88 / $1,092.45 / $4,933.00	Facility		$858.88	$1,092.45	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.83 / $858.88 / $1,092.45	Professional		$650.83	$858.88	$1,092.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,184.76 / $4,708.67 / $6,311.84	Facility		$3,184.76	$4,708.67	$6,311.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $852.96 / $1,132.21	Professional		$191.15	$852.96	$1,132.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.56 / $913.63 / $1,827.79	Professional		$655.56	$913.63	$1,827.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $837.36 / $1,407.64 / $4,933.00	Facility		$837.36	$1,407.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $793.84 / $858.88 / $1,275.79	Professional		$793.84	$858.88	$1,275.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $708.77 / $1,069.99	Professional		$65.50	$708.77	$1,069.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.80 / $1,076.18 / $1,412.35	Professional		$856.80	$1,076.18	$1,412.35