Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,579.83 / $1,579.83 / $4,784.00	Professional		$1,579.83	$1,579.83	$4,784.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.87 / $696.60 / $1,221.42	Facility		$454.87	$696.60	$1,221.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.94 / $488.36 / $659.29	Professional		$463.94	$488.36	$659.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.29 / $732.63 / $1,115.66	Professional		$692.29	$732.63	$1,115.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $541.89 / $541.89 / $1,221.00	Facility		$541.89	$541.89	$1,221.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $477.40 / $541.89 / $772.28	Professional		$477.40	$541.89	$772.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $83.25 / $601.86 / $830.00	Facility		$83.25	$601.86	$830.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $759.08 / $1,095.24	Professional		$71.54	$759.08	$1,095.24