Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.13 / $878.00 / $6,906.00	Facility		$738.13	$878.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.97 / $738.13 / $765.47	Professional		$535.97	$738.13	$765.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,932.50 / $2,252.40 / $3,051.64	Facility		$1,932.50	$2,252.40	$3,051.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $807.56 / $1,418.28	Professional		$160.74	$807.56	$1,418.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.23 / $576.29 / $1,041.67	Professional		$422.23	$576.29	$1,041.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $738.13 / $6,906.00	Facility		$521.15	$738.13	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $521.15 / $626.26 / $906.70	Professional		$521.15	$626.26	$906.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $391.10 / $654.84	Professional		$67.99	$391.10	$654.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.61 / $643.15 / $885.36	Professional		$546.61	$643.15	$885.36