Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.48 / $2,877.00 / $4,933.00	Facility		$731.48	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $611.52 / $731.48	Professional		$471.24	$611.52	$731.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.64 / $2,573.53 / $3,449.75	Facility		$1,740.64	$2,573.53	$3,449.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $714.03 / $1,081.85	Professional		$153.02	$714.03	$1,081.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.02 / $685.38 / $1,276.21	Professional		$482.02	$685.38	$1,276.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $531.16 / $2,877.00 / $4,933.00	Facility		$531.16	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $610.84 / $887.56	Professional		$531.16	$610.84	$887.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $500.88 / $761.04	Professional		$65.50	$500.88	$761.04
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 $561.25 / $708.95 / $917.14	Professional		$561.25	$708.95	$917.14