Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.09 / $4,112.00 / $4,933.00	Facility		$746.09	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.35 / $746.09 / $746.09	Professional		$554.35	$746.09	$746.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,763.04 / $3,225.30 / $4,393.74	Facility		$2,763.04	$3,225.30	$4,393.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.66 / $838.30 / $1,472.29	Professional		$167.66	$838.30	$1,472.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.77 / $675.25 / $1,202.72	Professional		$545.77	$675.25	$1,202.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $593.78 / $4,112.00 / $4,933.00	Facility		$593.78	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $593.78 / $664.77 / $988.96	Professional		$593.78	$664.77	$988.96
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 $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 $644.57 / $776.65 / $984.03	Professional		$644.57	$776.65	$984.03