Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.27 / $4,933.00 / $5,757.00	Facility		$716.27	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.04 / $716.27 / $716.27	Professional		$534.04	$716.27	$716.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,425.98 / $3,993.10 / $5,410.02	Facility		$3,425.98	$3,993.10	$5,410.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.52 / $901.16 / $1,405.81	Professional		$168.52	$901.16	$1,405.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.43 / $605.04 / $1,117.99	Professional		$504.43	$605.04	$1,117.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $556.69 / $4,933.00 / $5,757.00	Facility		$556.69	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $556.69 / $640.19 / $904.54	Professional		$556.69	$640.19	$904.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $477.11 / $716.61	Professional		$65.66	$477.11	$716.61
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 $592.72 / $710.74 / $915.45	Professional		$592.72	$710.74	$915.45