Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.53 / $4,112.00 / $4,933.00	Facility		$728.53	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.45 / $728.53 / $755.52	Professional		$528.45	$728.53	$755.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.50 / $2,301.35 / $3,117.97	Facility		$1,974.50	$2,301.35	$3,117.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $671.28 / $1,340.46	Professional		$135.51	$671.28	$1,340.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.07 / $584.41 / $1,021.42	Professional		$436.07	$584.41	$1,021.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $578.24 / $4,112.00 / $4,933.00	Facility		$578.24	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $571.62 / $619.82 / $913.04	Professional		$571.62	$619.82	$913.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $361.05 / $613.28	Professional		$67.99	$361.05	$613.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,740.00	Facility		$1,050.00	$3,569.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.55 / $660.52 / $956.59	Professional		$561.55	$660.52	$956.59