Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.58 / $4,112.00 / $4,933.00	Facility		$672.58	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.05 / $672.58 / $700.61	Professional		$477.05	$672.58	$700.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,603.19 / $4,206.01 / $5,729.73	Facility		$3,603.19	$4,206.01	$5,729.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $529.41 / $942.19	Professional		$149.76	$529.41	$942.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.12 / $595.19 / $1,161.21	Professional		$507.12	$595.19	$1,161.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $542.78 / $4,112.00 / $4,933.00	Facility		$542.78	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $542.78 / $624.19 / $879.66	Professional		$542.78	$624.19	$879.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $471.42 / $715.05	Professional		$65.66	$471.42	$715.05
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 $598.85 / $711.10 / $897.09	Professional		$598.85	$711.10	$897.09