Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.57 / $2,877.00 / $4,933.00	Facility		$905.57	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.62 / $905.57 / $939.11	Professional		$634.62	$905.57	$939.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,634.69 / $3,070.82 / $4,160.47	Facility		$2,634.69	$3,070.82	$4,160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $976.91 / $1,619.63	Professional		$174.82	$976.91	$1,619.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.85 / $666.56 / $1,309.70	Professional		$444.85	$666.56	$1,309.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $545.03 / $2,877.00 / $4,933.00	Facility		$545.03	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $545.03 / $719.96 / $949.06	Professional		$545.03	$719.96	$949.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $473.31 / $761.90	Professional		$67.99	$473.31	$761.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.59 / $698.03 / $926.73	Professional		$585.59	$698.03	$926.73