Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.50 / $4,933.00 / $4,933.00	Facility		$645.50	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.66 / $543.71 / $645.50	Professional		$442.66	$543.71	$645.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.78 / $3,216.89 / $4,312.14	Facility		$2,175.78	$3,216.89	$4,312.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $534.52 / $853.46	Professional		$130.71	$534.52	$853.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.43 / $618.67 / $1,210.78	Professional		$463.43	$618.67	$1,210.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $470.99 / $4,933.00 / $4,933.00	Facility		$470.99	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $470.99 / $534.78 / $779.66	Professional		$470.99	$534.78	$779.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $428.43 / $653.92	Professional		$65.50	$428.43	$653.92
United Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $6,649.00 / $8,738.00	Facility		$788.00	$6,649.00	$8,738.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.96 / $624.85 / $848.31	Professional		$502.96	$624.85	$848.31