Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $4,112.00 / $4,933.00	Facility		$656.25	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $656.25 / $682.76	Professional		$49.00	$656.25	$682.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.15 / $3,717.07 / $5,036.04	Facility		$3,189.15	$3,717.07	$5,036.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $576.32 / $939.26	Professional		$149.29	$576.32	$939.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,236.54 / $2,363.85 / $2,832.16	Professional		$2,236.54	$2,363.85	$2,832.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $4,112.00 / $5,756.00	Facility		$656.25	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $656.25 / $812.36	Professional		$49.00	$656.25	$812.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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