Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.45 / $4,112.00 / $4,933.00	Facility		$957.45	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.45 / $957.45 / $994.28	Professional		$673.45	$957.45	$994.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,582.55 / $3,031.15 / $4,106.72	Facility		$2,582.55	$3,031.15	$4,106.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $791.04 / $1,308.57	Professional		$193.44	$791.04	$1,308.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.22 / $814.81 / $1,600.28	Professional		$550.22	$814.81	$1,600.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $785.44 / $4,112.00 / $4,933.00	Facility		$785.44	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $746.07 / $852.66 / $1,192.08	Professional		$746.07	$852.66	$1,192.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $491.58 / $847.90	Professional		$68.50	$491.58	$847.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,574.00 / $8,339.00	Facility		$1,450.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.63 / $880.68 / $1,144.19	Professional		$752.63	$880.68	$1,144.19