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 $348.66 / $406.99 / $554.42	Facility		$348.66	$406.99	$554.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $170.77 / $855.64	Professional		$132.24	$170.77	$855.64
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 $575.21 / $2,056.00 / $4,933.00	Facility		$575.21	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $575.21 / $590.79 / $807.94	Professional		$575.21	$590.79	$807.94
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 $474.38 / $640.51 / $877.70	Professional		$474.38	$640.51	$877.70