Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.98 / $4,933.00 / $5,757.00	Facility		$699.98	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.63 / $699.98 / $729.15	Professional		$495.63	$699.98	$729.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,203.72 / $4,907.01 / $6,684.69	Facility		$4,203.72	$4,907.01	$6,684.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $573.58 / $1,014.78	Professional		$150.01	$573.58	$1,014.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $632.23 / $1,208.56	Professional		$527.17	$632.23	$1,208.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $588.50 / $4,933.00 / $5,757.00	Facility		$588.50	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $588.50 / $659.12 / $956.23	Professional		$588.50	$659.12	$956.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $474.84 / $732.91	Professional		$65.66	$474.84	$732.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.92 / $749.86 / $945.57	Professional		$632.92	$749.86	$945.57