Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.37 / $4,933.00 / $5,757.00	Facility		$882.37	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.17 / $882.37 / $916.31	Professional		$621.17	$882.37	$916.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,968.13 / $5,831.13 / $7,900.25	Facility		$4,968.13	$5,831.13	$7,900.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $688.24 / $1,749.79	Professional		$178.29	$688.24	$1,749.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $784.10 / $1,474.05	Professional		$507.50	$784.10	$1,474.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $686.19 / $4,933.00 / $5,757.00	Facility		$686.19	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $686.19 / $768.53 / $1,104.09	Professional		$686.19	$768.53	$1,104.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $489.46 / $826.77	Professional		$68.44	$489.46	$826.77
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 $648.91 / $809.64 / $1,140.71	Professional		$648.91	$809.64	$1,140.71