Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.55 / $2,877.00 / $4,933.00	Facility		$700.55	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.59 / $700.55 / $706.44	Professional		$454.59	$700.55	$706.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,355.80 / $2,749.93 / $3,746.16	Facility		$2,355.80	$2,749.93	$3,746.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $469.16 / $985.95	Professional		$156.72	$469.16	$985.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.72 / $610.79 / $1,176.98	Professional		$513.72	$610.79	$1,176.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $497.78 / $2,877.00 / $4,933.00	Facility		$497.78	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $497.78 / $622.22 / $867.05	Professional		$497.78	$622.22	$867.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $342.75 / $627.93	Professional		$69.02	$342.75	$627.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.51 / $671.23 / $874.33	Professional		$573.51	$671.23	$874.33