Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.62 / $4,112.00 / $4,933.00	Facility		$804.62	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.47 / $804.62 / $804.62	Professional		$592.47	$804.62	$804.62
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 $162.04 / $595.72 / $1,060.18	Professional		$162.04	$595.72	$1,060.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.03 / $728.50 / $1,296.69	Professional		$589.03	$728.50	$1,296.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $4,112.00 / $4,933.00	Facility		$640.85	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $640.85 / $717.74 / $1,031.80	Professional		$640.85	$717.74	$1,031.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $551.22 / $817.97	Professional		$65.66	$551.22	$817.97
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 $705.63 / $845.24 / $1,129.75	Professional		$705.63	$845.24	$1,129.75