Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.24 / $4,112.00 / $6,906.00	Facility		$878.24	$4,112.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.59 / $685.11 / $910.77	Professional		$546.59	$685.11	$910.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,065.78 / $2,407.73 / $3,262.10	Facility		$2,065.78	$2,407.73	$3,262.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.51 / $629.95 / $1,587.46	Professional		$191.51	$629.95	$1,587.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.86 / $702.33 / $1,226.16	Professional		$525.86	$702.33	$1,226.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $717.59 / $4,112.00 / $7,929.45	Facility		$717.59	$4,112.00	$7,929.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $622.48 / $722.85 / $1,097.83	Professional		$622.48	$722.85	$1,097.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $474.30 / $742.91	Professional		$68.34	$474.30	$742.91
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 $682.25 / $790.34 / $1,105.08	Professional		$682.25	$790.34	$1,105.08