Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.74 / $4,933.00 / $4,933.00	Facility		$736.74	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.49 / $672.81 / $736.74	Professional		$542.49	$672.81	$736.74
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 $154.34 / $872.96 / $1,456.50	Professional		$154.34	$872.96	$1,456.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.41 / $667.58 / $1,187.23	Professional		$539.41	$667.58	$1,187.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $585.16 / $4,933.00 / $4,933.00	Facility		$585.16	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $585.16 / $624.89 / $928.96	Professional		$585.16	$624.89	$928.96
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 $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.49 / $794.58 / $1,048.64	Professional		$654.49	$794.58	$1,048.64