Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.43 / $4,933.00 / $6,907.00	Facility		$964.43	$4,933.00	$6,907.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.50 / $964.43 / $1,000.14	Professional		$698.50	$964.43	$1,000.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,550.42 / $2,972.61 / $4,027.41	Facility		$2,550.42	$2,972.61	$4,027.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $768.88 / $1,659.02	Professional		$188.02	$768.88	$1,659.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.37 / $773.03 / $1,347.42	Professional		$578.37	$773.03	$1,347.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $712.20 / $964.43 / $6,907.00	Facility		$712.20	$964.43	$6,907.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $712.20 / $818.67 / $1,207.95	Professional		$712.20	$818.67	$1,207.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $524.55 / $818.36	Professional		$68.38	$524.55	$818.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $4,985.00 / $8,339.00	Facility		$1,450.00	$4,985.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.09 / $865.39 / $1,209.26	Professional		$736.09	$865.39	$1,209.26