Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.02 / $4,933.00 / $5,757.00	Facility		$653.02	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.24 / $653.02 / $680.23	Professional		$463.24	$653.02	$680.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,494.90 / $2,912.30 / $3,967.35	Facility		$2,494.90	$2,912.30	$3,967.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $516.34 / $918.92	Professional		$146.07	$516.34	$918.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.55 / $589.32 / $1,129.93	Professional		$493.55	$589.32	$1,129.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $635.91 / $4,933.00 / $5,757.00	Facility		$635.91	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $607.60 / $635.91 / $901.32	Professional		$607.60	$635.91	$901.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $436.64 / $676.28	Professional		$65.56	$436.64	$676.28
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 $592.66 / $713.40 / $905.41	Professional		$592.66	$713.40	$905.41