Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.85 / $4,933.00 / $4,933.00	Facility		$622.85	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.18 / $566.77 / $646.79	Professional		$422.18	$566.77	$646.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.60 / $118.60 / $139.53	Facility		$118.60	$118.60	$139.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $485.01 / $732.55	Professional		$123.34	$485.01	$732.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.71 / $772.50 / $1,413.04	Professional		$440.71	$772.50	$1,413.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $617.98 / $4,933.00 / $4,933.00	Facility		$617.98	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $541.41 / $617.98 / $759.63	Professional		$541.41	$617.98	$759.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $425.39 / $830.63	Professional		$30.00	$425.39	$830.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $6,327.00	Facility		$1,713.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.35 / $730.47 / $932.72	Professional		$571.35	$730.47	$932.72