Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.47 / $4,933.00 / $4,933.00	Facility		$801.47	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.39 / $715.80 / $801.47	Professional		$581.39	$715.80	$801.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,263.65 / $3,346.81 / $4,620.60	Facility		$2,263.65	$3,346.81	$4,620.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $639.34 / $1,053.53	Professional		$167.46	$639.34	$1,053.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.73 / $762.36 / $1,502.50	Professional		$612.73	$762.36	$1,502.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $636.26 / $4,933.00 / $4,933.00	Facility		$636.26	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $620.88 / $680.79 / $987.38	Professional		$620.88	$680.79	$987.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $512.49 / $769.52	Professional		$62.33	$512.49	$769.52
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 $638.42 / $829.42 / $1,053.44	Professional		$638.42	$829.42	$1,053.44