Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.15 / $1,792.24 / $4,933.00	Facility		$937.15	$1,792.24	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.47 / $838.40 / $1,256.51	Professional		$661.47	$838.40	$1,256.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,801.01 / $5,595.74 / $7,581.34	Facility		$4,801.01	$5,595.74	$7,581.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $788.24 / $1,261.19	Professional		$204.19	$788.24	$1,261.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.48 / $875.68 / $3,121.35	Professional		$738.48	$875.68	$3,121.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $835.71 / $2,877.00 / $6,906.00	Facility		$835.71	$2,877.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $721.92 / $903.76 / $1,256.51	Professional		$721.92	$903.76	$1,256.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $558.67 / $901.17	Professional		$68.25	$558.67	$901.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.22 / $939.09 / $1,206.59	Professional		$788.22	$939.09	$1,206.59