Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.60 / $2,877.00 / $4,933.00	Facility		$730.60	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.23 / $730.60 / $758.70	Professional		$489.23	$730.60	$758.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,344.86 / $1,578.47 / $2,138.57	Facility		$1,344.86	$1,578.47	$2,138.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.82 / $545.60 / $986.44	Professional		$155.82	$545.60	$986.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.54 / $637.77 / $1,355.68	Professional		$424.54	$637.77	$1,355.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $569.23 / $2,877.00 / $4,933.00	Facility		$569.23	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $569.23 / $637.53 / $898.32	Professional		$569.23	$637.53	$898.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $484.61 / $716.76	Professional		$65.66	$484.61	$716.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,574.00 / $8,339.00	Facility		$1,450.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.04 / $662.57 / $951.32	Professional		$544.04	$662.57	$951.32