Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.44 / $2,056.00 / $4,933.00	Facility		$711.44	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.78 / $711.44 / $711.44	Professional		$520.78	$711.44	$711.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.25 / $4,074.17 / $5,550.14	Facility		$3,490.25	$4,074.17	$5,550.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $830.64 / $1,385.87	Professional		$166.13	$830.64	$1,385.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.30 / $651.53 / $1,144.29	Professional		$516.30	$651.53	$1,144.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $574.40 / $2,056.00 / $4,933.00	Facility		$574.40	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $574.40 / $630.70 / $942.39	Professional		$574.40	$630.70	$942.39
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 $1,527.00 / $5,081.00 / $7,384.17	Facility		$1,527.00	$5,081.00	$7,384.17
United Facility/Professional Professional Modifier Low / Median / High Price $643.91 / $768.88 / $946.89	Professional		$643.91	$768.88	$946.89