Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.58 / $2,877.00 / $4,933.00	Facility		$694.58	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.50 / $694.58 / $700.41	Professional		$452.50	$694.58	$700.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,420.90 / $2,825.91 / $3,849.67	Facility		$2,420.90	$2,825.91	$3,849.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $457.99 / $961.35	Professional		$148.57	$457.99	$961.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.02 / $655.32 / $1,151.10	Professional		$515.02	$655.32	$1,151.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $512.36 / $2,877.00 / $4,933.00	Facility		$512.36	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $512.36 / $631.63 / $884.28	Professional		$512.36	$631.63	$884.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $363.55 / $642.87	Professional		$101.83	$363.55	$642.87
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 $591.54 / $698.91 / $906.53	Professional		$591.54	$698.91	$906.53