Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.33 / $2,056.00 / $4,933.00	Facility		$634.33	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.53 / $634.33 / $634.33	Professional		$490.53	$634.33	$634.33
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 $142.10 / $751.45 / $1,183.54	Professional		$142.10	$751.45	$1,183.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.95 / $582.79 / $1,022.02	Professional		$464.95	$582.79	$1,022.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $2,056.00 / $4,933.00	Facility		$504.83	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $504.83 / $565.57 / $821.96	Professional		$504.83	$565.57	$821.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $434.09 / $650.53	Professional		$65.66	$434.09	$650.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,574.00 / $8,339.00	Facility		$2,524.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.86 / $676.53 / $848.93	Professional		$550.86	$676.53	$848.93