Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.52 / $2,877.00 / $4,933.00	Facility		$795.52	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.07 / $763.78 / $826.11	Professional		$525.07	$763.78	$826.11
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 $157.21 / $648.51 / $1,151.89	Professional		$157.21	$648.51	$1,151.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.38 / $685.49 / $1,327.11	Professional		$460.38	$685.49	$1,327.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $643.37 / $2,877.00 / $4,933.00	Facility		$643.37	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $628.42 / $707.70 / $974.21	Professional		$628.42	$707.70	$974.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $521.19 / $793.81	Professional		$65.66	$521.19	$793.81
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 $556.70 / $690.76 / $992.93	Professional		$556.70	$690.76	$992.93