Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.51 / $1,027.21 / $4,933.00	Facility		$890.51	$1,027.21	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.04 / $890.51 / $1,027.21	Professional		$634.04	$890.51	$1,027.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,733.56 / $3,186.06 / $4,316.60	Facility		$2,733.56	$3,186.06	$4,316.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $712.42 / $1,185.48	Professional		$193.78	$712.42	$1,185.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.32 / $858.74 / $3,175.29	Professional		$630.32	$858.74	$3,175.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $889.73 / $2,877.00 / $4,933.00	Facility		$889.73	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $809.20 / $890.51 / $1,156.64	Professional		$809.20	$890.51	$1,156.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $610.28 / $984.80	Professional		$68.25	$610.28	$984.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.34 / $976.86 / $1,270.42	Professional		$812.34	$976.86	$1,270.42