Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.34 / $4,933.00 / $4,933.00	Facility		$861.34	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.08 / $723.39 / $861.34	Professional		$561.08	$723.39	$861.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,178.75 / $3,221.28 / $4,447.30	Facility		$2,178.75	$3,221.28	$4,447.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $635.24 / $1,087.04	Professional		$172.79	$635.24	$1,087.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.98 / $821.53 / $1,501.89	Professional		$578.98	$821.53	$1,501.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $619.76 / $4,933.00 / $4,933.00	Facility		$619.76	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $619.76 / $715.56 / $1,051.67	Professional		$619.76	$715.56	$1,051.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $580.58 / $866.47	Professional		$65.50	$580.58	$866.47
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 $651.82 / $832.80 / $1,110.40	Professional		$651.82	$832.80	$1,110.40