Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.63 / $2,877.00 / $4,933.00	Facility		$859.63	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.24 / $859.63 / $985.49	Professional		$665.24	$859.63	$985.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.88 / $2,084.52 / $3,281.26	Facility		$1,495.88	$2,084.52	$3,281.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $1,021.36 / $1,174.56	Professional		$180.58	$1,021.36	$1,174.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.66 / $820.43 / $1,384.84	Professional		$630.66	$820.43	$1,384.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $674.00 / $2,877.00 / $4,933.00	Facility		$674.00	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $693.37 / $1,178.72	Professional		$674.00	$693.37	$1,178.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $572.60 / $869.99	Professional		$65.66	$572.60	$869.99
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 $750.25 / $906.41 / $1,159.56	Professional		$750.25	$906.41	$1,159.56