Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.16 / $2,056.00 / $4,933.00	Facility		$713.16	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.11 / $713.16 / $713.16	Professional		$522.11	$713.16	$713.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.53 / $819.72 / $1,104.72	Facility		$702.53	$819.72	$1,104.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $832.63 / $1,311.39	Professional		$141.55	$832.63	$1,311.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.78 / $653.11 / $1,147.22	Professional		$517.78	$653.11	$1,147.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $576.87 / $2,056.00 / $4,933.00	Facility		$576.87	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $576.87 / $632.19 / $946.48	Professional		$576.87	$632.19	$946.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $441.01 / $547.56 / $796.09	Professional		$441.01	$547.56	$796.09
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 $640.26 / $767.71 / $972.87	Professional		$640.26	$767.71	$972.87