Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.75 / $2,056.00 / $4,933.00	Facility		$757.75	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $757.75 / $929.51	Professional		$381.36	$757.75	$929.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.19 / $1,857.03 / $2,515.98	Facility		$1,582.19	$1,857.03	$2,515.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $548.41 / $947.64	Professional		$144.78	$548.41	$947.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.96 / $621.14 / $1,516.31	Professional		$442.96	$621.14	$1,516.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $649.29 / $2,056.00 / $4,933.00	Facility		$649.29	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $567.70 / $651.76 / $951.33	Professional		$567.70	$651.76	$951.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $487.64 / $626.16 / $898.02	Professional		$487.64	$626.16	$898.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.75 / $759.84 / $2,034.99	Professional		$489.75	$759.84	$2,034.99