Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.28 / $4,933.00 / $7,677.98	Facility		$529.28	$4,933.00	$7,677.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.88 / $443.34 / $638.63	Professional		$360.88	$443.34	$638.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,471.36 / $3,653.91 / $4,897.97	Facility		$2,471.36	$3,653.91	$4,897.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.52 / $621.48 / $1,025.43	Professional		$117.52	$621.48	$1,025.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $506.67 / $981.48	Professional		$374.40	$506.67	$981.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $422.06 / $4,933.00 / $7,677.98	Facility		$422.06	$4,933.00	$7,677.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.84 / $469.75 / $680.66	Professional		$398.84	$469.75	$680.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $374.47 / $562.55	Professional		$48.66	$374.47	$562.55
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 $427.25 / $535.73 / $687.82	Professional		$427.25	$535.73	$687.82