Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.88 / $4,112.00 / $4,933.00	Facility		$617.88	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.07 / $551.74 / $623.67	Professional		$417.07	$551.74	$623.67
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 $124.79 / $504.65 / $816.45	Professional		$124.79	$504.65	$816.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.98 / $590.73 / $1,074.72	Professional		$405.98	$590.73	$1,074.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $476.66 / $4,112.00 / $4,933.00	Facility		$476.66	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $476.66 / $528.79 / $761.05	Professional		$476.66	$528.79	$761.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $404.05 / $618.23	Professional		$65.50	$404.05	$618.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,999.08 / $5,708.00 / $7,719.51	Facility		$1,999.08	$5,708.00	$7,719.51
United Facility/Professional Professional Modifier Low / Median / High Price $477.45 / $600.66 / $765.86	Professional		$477.45	$600.66	$765.86