Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.82 / $2,877.00 / $4,933.00	Facility		$758.82	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.45 / $732.19 / $788.00	Professional		$514.45	$732.19	$788.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,619.36 / $3,074.36 / $4,165.27	Facility		$2,619.36	$3,074.36	$4,165.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $612.76 / $969.56	Professional		$155.83	$612.76	$969.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.47 / $716.67 / $1,336.40	Professional		$430.47	$716.67	$1,336.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $662.69 / $2,877.00 / $4,933.00	Facility		$662.69	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $588.51 / $672.58 / $961.25	Professional		$588.51	$672.58	$961.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $464.68 / $586.56 / $836.43	Professional		$464.68	$586.56	$836.43
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $740.24 / $953.05	Professional		$593.82	$740.24	$953.05