Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.26 / $4,112.00 / $4,933.00	Facility		$722.26	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.02 / $722.26 / $891.25	Professional		$541.02	$722.26	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,960.39 / $3,455.67 / $4,707.58	Facility		$2,960.39	$3,455.67	$4,707.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $534.71 / $951.61	Professional		$145.44	$534.71	$951.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.27 / $699.76 / $1,165.09	Professional		$529.27	$699.76	$1,165.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $574.41 / $4,112.00 / $4,933.00	Facility		$574.41	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $574.41 / $643.41 / $987.25	Professional		$574.41	$643.41	$987.25
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 $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $739.59 / $949.30	Professional		$626.39	$739.59	$949.30