Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.94 / $4,933.00 / $4,933.00	Facility		$790.94	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.75 / $719.99 / $790.94	Professional		$526.75	$719.99	$790.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,052.00 / $3,033.89 / $4,066.85	Facility		$2,052.00	$3,033.89	$4,066.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $643.27 / $1,066.33	Professional		$163.94	$643.27	$1,066.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.69 / $825.49 / $1,464.61	Professional		$541.69	$825.49	$1,464.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $537.89 / $4,933.00 / $4,933.00	Facility		$537.89	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $537.89 / $655.35 / $965.55	Professional		$537.89	$655.35	$965.55
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 $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 $620.67 / $767.41 / $1,003.25	Professional		$620.67	$767.41	$1,003.25