Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.67 / $2,056.00 / $4,933.00	Facility		$640.67	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.17 / $640.67 / $694.07	Professional		$475.17	$640.67	$694.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,597.55 / $4,199.43 / $5,720.78	Facility		$3,597.55	$4,199.43	$5,720.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $816.69 / $1,470.04	Professional		$138.84	$816.69	$1,470.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.12 / $618.39 / $1,132.49	Professional		$389.12	$618.39	$1,132.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $556.47 / $2,056.00 / $4,933.00	Facility		$556.47	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $545.84 / $602.49 / $823.08	Professional		$545.84	$602.49	$823.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $411.60 / $666.07	Professional		$34.06	$411.60	$666.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.17 / $662.17 / $904.16	Professional		$575.17	$662.17	$904.16