Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.45 / $4,933.00 / $4,933.00	Facility		$714.45	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.69 / $641.72 / $714.45	Professional		$454.69	$641.72	$714.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,981.02 / $2,928.94 / $3,926.16	Facility		$1,981.02	$2,928.94	$3,926.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $590.87 / $938.87	Professional		$143.49	$590.87	$938.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.89 / $668.70 / $1,330.85	Professional		$471.89	$668.70	$1,330.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $482.21 / $4,933.00 / $4,933.00	Facility		$482.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $482.21 / $590.96 / $851.91	Professional		$482.21	$590.96	$851.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $496.93 / $752.61	Professional		$65.50	$496.93	$752.61
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 $548.22 / $692.48 / $1,239.06	Professional		$548.22	$692.48	$1,239.06