Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.76 / $2,056.00 / $4,933.00	Facility		$891.76	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.11 / $891.76 / $1,110.68	Professional		$651.11	$891.76	$1,110.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $956.70 / $1,122.88 / $1,521.33	Facility		$956.70	$1,122.88	$1,521.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $733.92 / $1,214.08	Professional		$179.47	$733.92	$1,214.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.76 / $864.56 / $1,590.80	Professional		$519.76	$864.56	$1,590.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $777.76 / $2,056.00 / $4,933.00	Facility		$777.76	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $777.76 / $894.42 / $1,387.19	Professional		$777.76	$894.42	$1,387.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $550.47 / $962.87	Professional		$102.24	$550.47	$962.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,033.09 / $3,523.00 / $6,036.00	Facility		$1,033.09	$3,523.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.65 / $931.36 / $1,293.52	Professional		$723.65	$931.36	$1,293.52