Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.36 / $4,933.00 / $4,933.00	Facility		$728.36	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.67 / $635.95 / $728.36	Professional		$501.67	$635.95	$728.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $973.05 / $1,438.66 / $1,986.21	Facility		$973.05	$1,438.66	$1,986.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $536.58 / $954.93	Professional		$145.94	$536.58	$954.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.07 / $703.67 / $1,353.02	Professional		$531.07	$703.67	$1,353.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $4,933.00 / $4,933.00	Facility		$554.52	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $554.52 / $624.38 / $888.00	Professional		$554.52	$624.38	$888.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $481.67 / $738.02	Professional		$62.22	$481.67	$738.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.98 / $717.31 / $939.49	Professional		$580.98	$717.31	$939.49