Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.30 / $4,933.00 / $4,933.00	Facility		$964.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.68 / $944.17 / $1,001.38	Professional		$677.68	$944.17	$1,001.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,997.27 / $4,691.60 / $6,356.39	Facility		$3,997.27	$4,691.60	$6,356.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.11 / $938.35 / $1,265.11	Professional		$216.11	$938.35	$1,265.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.75 / $885.87 / $1,596.67	Professional		$558.75	$885.87	$1,596.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $831.48 / $964.30 / $6,906.00	Facility		$831.48	$964.30	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $746.83 / $853.17 / $1,250.70	Professional		$746.83	$853.17	$1,250.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $524.18 / $870.68	Professional		$68.56	$524.18	$870.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.56 / $930.49 / $1,311.78	Professional		$770.56	$930.49	$1,311.78