Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.95 / $4,933.00 / $4,933.00	Facility		$739.95	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.96 / $739.95 / $739.95	Professional		$544.96	$739.95	$739.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,977.99 / $2,308.91 / $3,145.37	Facility		$1,977.99	$2,308.91	$3,145.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $920.80 / $1,644.28	Professional		$175.39	$920.80	$1,644.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.79 / $669.95 / $1,191.97	Professional		$541.79	$669.95	$1,191.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $588.44 / $4,933.00 / $4,933.00	Facility		$588.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $588.44 / $659.73 / $937.68	Professional		$588.44	$659.73	$937.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $499.38 / $748.32	Professional		$65.66	$499.38	$748.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.62 / $759.25 / $989.38	Professional		$614.62	$759.25	$989.38