Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.57 / $4,933.00 / $4,933.00	Facility		$737.57	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.63 / $737.57 / $768.31	Professional		$521.63	$737.57	$768.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.18 / $5,349.96 / $7,288.11	Facility		$4,583.18	$5,349.96	$7,288.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $784.04 / $1,033.58	Professional		$157.97	$784.04	$1,033.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.63 / $667.92 / $1,272.58	Professional		$554.63	$667.92	$1,272.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $628.89 / $4,933.00 / $4,933.00	Facility		$628.89	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $628.89 / $701.52 / $945.91	Professional		$628.89	$701.52	$945.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $497.84 / $764.62	Professional		$65.66	$497.84	$764.62
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 $666.41 / $792.31 / $1,001.38	Professional		$666.41	$792.31	$1,001.38