Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.07 / $2,056.00 / $4,933.00	Facility		$766.07	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.98 / $766.07 / $766.07	Professional		$560.98	$766.07	$766.07
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 $151.96 / $670.40 / $1,676.02	Professional		$151.96	$670.40	$1,676.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.39 / $701.33 / $1,232.81	Professional		$556.39	$701.33	$1,232.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $619.12 / $2,056.00 / $4,933.00	Facility		$619.12	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $619.12 / $678.68 / $1,014.91	Professional		$619.12	$678.68	$1,014.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $497.29 / $619.88 / $883.10	Professional		$497.29	$619.88	$883.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.73 / $808.06 / $1,042.06	Professional		$693.73	$808.06	$1,042.06