Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.38 / $4,933.00 / $4,933.00	Facility		$956.38	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $956.38 / $956.38	Professional		$577.60	$956.38	$956.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,761.37 / $3,761.37 / $3,761.37	Facility		$3,761.37	$3,761.37	$3,761.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,573.30 / $3,911.82 / $5,077.85	Professional		$3,573.30	$3,911.82	$5,077.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.47 / $1,723.66 / $1,747.13	Professional		$1,537.47	$1,723.66	$1,747.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $956.38 / $4,933.00 / $4,933.00	Facility		$956.38	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $665.70 / $969.12 / $1,211.40	Professional		$665.70	$969.12	$1,211.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $382.64 / $420.90 / $535.69	Professional		$382.64	$420.90	$535.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $7,800.00 / $10,351.00	Facility		$3,500.00	$7,800.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $895.13 / $1,158.40 / $1,724.63	Professional		$895.13	$1,158.40	$1,724.63