Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.77 / $4,933.00 / $5,757.00	Facility		$715.77	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.11 / $715.77 / $743.30	Professional		$479.11	$715.77	$743.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,783.89 / $4,441.18 / $6,017.09	Facility		$3,783.89	$4,441.18	$6,017.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $762.20 / $1,020.77	Professional		$149.05	$762.20	$1,020.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.51 / $676.19 / $1,341.46	Professional		$415.51	$676.19	$1,341.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $559.22 / $4,933.00 / $5,757.00	Facility		$559.22	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $559.22 / $643.10 / $942.41	Professional		$559.22	$643.10	$942.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $502.27 / $753.39	Professional		$65.66	$502.27	$753.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.29 / $671.74 / $946.14	Professional		$574.29	$671.74	$946.14