Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.74 / $4,933.00 / $4,933.00	Facility		$795.74	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.79 / $725.40 / $795.74	Professional		$547.79	$725.40	$795.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,271.76 / $3,358.81 / $4,637.16	Facility		$2,271.76	$3,358.81	$4,637.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.65 / $934.21 / $1,499.41	Professional		$176.65	$934.21	$1,499.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.87 / $762.11 / $1,475.54	Professional		$548.87	$762.11	$1,475.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $627.84 / $4,933.00 / $4,933.00	Facility		$627.84	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $622.19 / $690.62 / $974.93	Professional		$622.19	$690.62	$974.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $513.42 / $782.15	Professional		$62.22	$513.42	$782.15
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 $626.27 / $787.59 / $1,020.46	Professional		$626.27	$787.59	$1,020.46