Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.25 / $2,877.00 / $4,933.00	Facility		$570.25	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.91 / $570.25 / $592.17	Professional		$385.91	$570.25	$592.17
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 $115.22 / $444.77 / $753.86	Professional		$115.22	$444.77	$753.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.94 / $529.09 / $1,054.71	Professional		$331.94	$529.09	$1,054.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $542.65 / $2,877.00 / $4,933.00	Facility		$542.65	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $440.63 / $542.65 / $762.98	Professional		$440.63	$542.65	$762.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $388.56 / $585.75	Professional		$65.50	$388.56	$585.75
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 $469.16 / $562.99 / $803.23	Professional		$469.16	$562.99	$803.23