Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.64 / $933.32 / $4,933.00	Facility		$856.64	$933.32	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $856.64 / $933.32	Professional		$601.99	$856.64	$933.32
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 $187.09 / $687.84 / $1,177.58	Professional		$187.09	$687.84	$1,177.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.97 / $746.42 / $3,025.67	Professional		$609.97	$746.42	$3,025.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $681.39 / $2,877.00 / $4,933.00	Facility		$681.39	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $681.39 / $856.64 / $1,065.84	Professional		$681.39	$856.64	$1,065.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $560.50 / $900.94	Professional		$68.25	$560.50	$900.94
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 $709.40 / $838.38 / $1,106.88	Professional		$709.40	$838.38	$1,106.88