Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.06 / $2,056.00 / $4,933.00	Facility		$889.06	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.47 / $863.38 / $923.25	Professional		$621.47	$863.38	$923.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,062.50 / $3,594.48 / $4,869.95	Facility		$3,062.50	$3,594.48	$4,869.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $669.71 / $1,146.03	Professional		$175.15	$669.71	$1,146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.34 / $792.73 / $1,457.61	Professional		$506.34	$792.73	$1,457.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $694.61 / $2,056.00 / $4,933.00	Facility		$694.61	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $687.75 / $712.10 / $1,026.58	Professional		$687.75	$712.10	$1,026.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $547.96 / $691.82 / $980.49	Professional		$547.96	$691.82	$980.49
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.26 / $836.67 / $1,128.54	Professional		$684.26	$836.67	$1,128.54