Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.38 / $4,933.00 / $4,933.00	Facility		$783.38	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.99 / $732.48 / $816.02	Professional		$569.99	$732.48	$816.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,973.59 / $3,465.82 / $4,695.63	Facility		$2,973.59	$3,465.82	$4,695.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $694.80 / $1,149.36	Professional		$169.91	$694.80	$1,149.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.50 / $712.98 / $1,363.49	Professional		$591.50	$712.98	$1,363.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $670.38 / $4,933.00 / $4,933.00	Facility		$670.38	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $670.38 / $732.48 / $992.90	Professional		$670.38	$732.48	$992.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $539.34 / $823.61	Professional		$65.66	$539.34	$823.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,303.00 / $4,894.00 / $7,355.00	Facility		$1,303.00	$4,894.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.87 / $831.05 / $1,065.73	Professional		$700.87	$831.05	$1,065.73