Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.93 / $2,877.00 / $4,933.00	Facility		$866.93	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.59 / $729.41 / $866.93	Professional		$578.59	$729.41	$866.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,271.76 / $3,358.81 / $4,502.39	Facility		$2,271.76	$3,358.81	$4,502.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $677.71 / $1,127.19	Professional		$172.27	$677.71	$1,127.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.54 / $824.99 / $1,523.92	Professional		$602.54	$824.99	$1,523.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $660.53 / $2,877.00 / $4,933.00	Facility		$660.53	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $660.53 / $739.79 / $1,076.46	Professional		$660.53	$739.79	$1,076.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $565.81 / $859.94	Professional		$65.50	$565.81	$859.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $8,911.00	Facility		$2,500.00	$7,780.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.39 / $850.14 / $1,123.09	Professional		$693.39	$850.14	$1,123.09