Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.88 / $2,056.00 / $4,933.00	Facility		$619.88	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.82 / $619.88 / $619.88	Professional		$436.82	$619.88	$619.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,589.12 / $1,854.99 / $2,527.00	Facility		$1,589.12	$1,854.99	$2,527.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $724.06 / $1,208.06	Professional		$123.09	$724.06	$1,208.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.74 / $567.35 / $997.24	Professional		$450.74	$567.35	$997.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $499.95 / $2,056.00 / $4,933.00	Facility		$499.95	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $499.38 / $549.51 / $807.81	Professional		$499.38	$549.51	$807.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $413.32 / $513.85 / $738.81	Professional		$413.32	$513.85	$738.81
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.42 / $651.03 / $857.49	Professional		$554.42	$651.03	$857.49