Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.56 / $4,933.00 / $4,933.00	Facility		$674.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $674.56 / $674.56	Professional		$522.16	$674.56	$674.56
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 $136.13 / $650.61 / $880.83	Professional		$136.13	$650.61	$880.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.96 / $613.30 / $1,088.38	Professional		$494.96	$613.30	$1,088.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $539.29 / $4,933.00 / $4,933.00	Facility		$539.29	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $539.29 / $601.87 / $870.42	Professional		$539.29	$601.87	$870.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $452.52 / $676.80	Professional		$65.66	$452.52	$676.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $6,873.00 / $9,202.00	Facility		$3,054.00	$6,873.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.19 / $693.08 / $883.16	Professional		$589.19	$693.08	$883.16