Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.15 / $2,056.00 / $4,933.00	Facility		$670.15	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.86 / $670.15 / $670.15	Professional		$490.86	$670.15	$670.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.91 / $936.84 / $1,262.57	Facility		$802.91	$936.84	$1,262.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $744.63 / $1,175.73	Professional		$138.58	$744.63	$1,175.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.17 / $614.01 / $1,079.15	Professional		$487.17	$614.01	$1,079.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $542.38 / $2,056.00 / $4,933.00	Facility		$542.38	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $542.38 / $595.04 / $893.45	Professional		$542.38	$595.04	$893.45
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 $604.39 / $719.69 / $914.97	Professional		$604.39	$719.69	$914.97