Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.86 / $2,877.00 / $4,933.00	Facility		$663.86	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.60 / $645.50 / $689.39	Professional		$438.60	$645.50	$689.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.90 / $2,166.54 / $2,935.32	Facility		$1,845.90	$2,166.54	$2,935.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $551.48 / $912.27	Professional		$141.60	$551.48	$912.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.64 / $522.17 / $1,117.51	Professional		$380.64	$522.17	$1,117.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $447.88 / $2,877.00 / $4,933.00	Facility		$447.88	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $447.88 / $515.05 / $779.27	Professional		$447.88	$515.05	$779.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $434.83 / $667.12	Professional		$65.56	$434.83	$667.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $3,569.00 / $6,036.00	Facility		$1,006.00	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.04 / $525.94 / $755.58	Professional		$442.04	$525.94	$755.58