Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.63 / $4,112.00 / $4,933.00	Facility		$649.63	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.63 / $584.46 / $649.63	Professional		$471.63	$584.46	$649.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,714.20 / $2,534.44 / $3,499.05	Facility		$1,714.20	$2,534.44	$3,499.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $501.96 / $818.44	Professional		$135.22	$501.96	$818.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.68 / $620.70 / $1,233.48	Professional		$470.68	$620.70	$1,233.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $530.58 / $4,112.00 / $4,933.00	Facility		$530.58	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $501.61 / $549.40 / $809.37	Professional		$501.61	$549.40	$809.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $435.31 / $665.20	Professional		$65.50	$435.31	$665.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,941.00 / $7,383.09	Facility		$1,527.00	$4,941.00	$7,383.09
United Facility/Professional Professional Modifier Low / Median / High Price $523.66 / $679.14 / $913.12	Professional		$523.66	$679.14	$913.12