Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.26 / $4,933.00 / $4,933.00	Facility		$609.26	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.94 / $609.26 / $6,249.99	Professional		$461.94	$609.26	$6,249.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.09 / $2,840.34 / $3,807.40	Facility		$1,921.09	$2,840.34	$3,807.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $517.84 / $861.29	Professional		$131.63	$517.84	$861.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.75 / $622.78 / $1,758.98	Professional		$394.75	$622.78	$1,758.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $533.01 / $4,933.00 / $4,933.00	Facility		$533.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $525.34 / $561.39 / $838.34	Professional		$525.34	$561.39	$838.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $311.74	Professional		$75.00	$100.00	$311.74
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 $498.18 / $633.88 / $832.98	Professional		$498.18	$633.88	$832.98