Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.04 / $2,056.00 / $4,933.00	Facility		$621.04	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.42 / $621.04 / $626.27	Professional		$448.42	$621.04	$626.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.58 / $411.39 / $604.85	Facility		$352.58	$411.39	$604.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $738.96 / $865.20	Professional		$132.24	$738.96	$865.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.48 / $525.96 / $1,021.24	Professional		$464.48	$525.96	$1,021.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $577.83 / $2,056.00 / $4,933.00	Facility		$577.83	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $577.42 / $590.79 / $818.60	Professional		$577.42	$590.79	$818.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $434.13 / $556.46 / $804.70	Professional		$434.13	$556.46	$804.70
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.20 / $646.66 / $875.82	Professional		$485.20	$646.66	$875.82