Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.60 / $4,933.00 / $5,757.00	Facility		$739.60	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.48 / $739.60 / $739.60	Professional		$544.48	$739.60	$739.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.18 / $5,349.96 / $7,288.11	Facility		$4,583.18	$5,349.96	$7,288.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.26 / $569.04 / $973.76	Professional		$156.26	$569.04	$973.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $674.83 / $1,192.82	Professional		$541.17	$674.83	$1,192.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $602.84 / $4,933.00 / $5,757.00	Facility		$602.84	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $595.63 / $659.47 / $970.36	Professional		$595.63	$659.47	$970.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $482.80 / $727.54	Professional		$54.60	$482.80	$727.54
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 $647.47 / $784.17 / $1,001.58	Professional		$647.47	$784.17	$1,001.58