Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.69 / $4,933.00 / $4,933.00	Facility		$814.69	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.53 / $725.24 / $814.69	Professional		$582.53	$725.24	$814.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.53 / $3,359.94 / $4,503.89	Facility		$2,272.53	$3,359.94	$4,503.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $630.05 / $1,067.92	Professional		$163.21	$630.05	$1,067.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.39 / $775.75 / $1,506.23	Professional		$624.39	$775.75	$1,506.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $4,933.00 / $4,933.00	Facility		$647.41	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $629.90 / $703.63 / $1,005.47	Professional		$629.90	$703.63	$1,005.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $544.94 / $812.13	Professional		$65.50	$544.94	$812.13
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.97 / $833.01 / $1,039.95	Professional		$649.97	$833.01	$1,039.95