Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.58 / $4,933.00 / $4,933.00	Facility		$665.58	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $644.77 / $691.18	Professional		$447.45	$644.77	$691.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,043.66 / $2,398.65 / $3,249.79	Facility		$2,043.66	$2,398.65	$3,249.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $814.14 / $1,232.96	Professional		$148.02	$814.14	$1,232.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $601.90 / $1,153.61	Professional		$379.53	$601.90	$1,153.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $539.65 / $665.58 / $4,933.00	Facility		$539.65	$665.58	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $519.90 / $593.61 / $843.01	Professional		$519.90	$593.61	$843.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $437.21 / $669.92	Professional		$65.66	$437.21	$669.92
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 $510.95 / $608.29 / $845.86	Professional		$510.95	$608.29	$845.86