Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.16 / $4,933.00 / $4,933.00	Facility		$624.16	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.75 / $577.90 / $624.16	Professional		$482.75	$577.90	$624.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,402.13 / $3,971.31 / $5,410.02	Facility		$3,402.13	$3,971.31	$5,410.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $791.44 / $1,165.49	Professional		$148.00	$791.44	$1,165.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.45 / $566.78 / $1,005.60	Professional		$457.45	$566.78	$1,005.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $496.72 / $4,933.00 / $4,933.00	Facility		$496.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $496.72 / $556.72 / $792.36	Professional		$496.72	$556.72	$792.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $394.20 / $595.90	Professional		$62.75	$394.20	$595.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $6,873.00 / $8,911.00	Facility		$3,054.00	$6,873.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.09 / $666.21 / $841.56	Professional		$538.09	$666.21	$841.56