Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.83 / $4,112.00 / $4,933.00	Facility		$861.83	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.08 / $861.83 / $955.70	Professional		$554.08	$861.83	$955.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,773.69 / $1,773.69 / $1,773.69	Facility		$1,773.69	$1,773.69	$1,773.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.01 / $1,862.37 / $2,217.11	Professional		$1,685.01	$1,862.37	$2,217.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,515.66 / $2,515.66 / $2,515.66	Professional		$2,515.66	$2,515.66	$2,515.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $962.13 / $4,112.00 / $4,933.00	Facility		$962.13	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $582.54 / $861.83 / $986.89	Professional		$582.54	$861.83	$986.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.35 / $1,242.54 / $1,740.04	Professional		$947.35	$1,242.54	$1,740.04