Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.85 / $2,056.00 / $4,933.00	Facility		$967.85	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.97 / $940.65 / $1,005.08	Professional		$676.97	$940.65	$1,005.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,337.24 / $3,916.94 / $5,306.83	Facility		$3,337.24	$3,916.94	$5,306.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $736.61 / $1,346.94	Professional		$198.44	$736.61	$1,346.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.62 / $864.19 / $1,587.74	Professional		$551.62	$864.19	$1,587.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $757.21 / $2,056.00 / $4,933.00	Facility		$757.21	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $749.24 / $775.99 / $1,119.08	Professional		$749.24	$775.99	$1,119.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $629.51 / $795.59 / $1,133.12	Professional		$629.51	$795.59	$1,133.12
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 $726.95 / $930.21 / $1,188.05	Professional		$726.95	$930.21	$1,188.05