Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.23 / $4,933.00 / $5,757.00	Facility		$799.23	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.55 / $719.92 / $829.97	Professional		$562.55	$719.92	$829.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,172.53 / $3,723.61 / $5,044.89	Facility		$3,172.53	$3,723.61	$5,044.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $566.80 / $1,097.82	Professional		$162.29	$566.80	$1,097.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.22 / $772.21 / $1,388.44	Professional		$460.22	$772.21	$1,388.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $675.42 / $4,933.00 / $5,757.00	Facility		$675.42	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $623.33 / $712.38 / $1,036.59	Professional		$623.33	$712.38	$1,036.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $427.05 / $718.41	Professional		$68.44	$427.05	$718.41
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 $672.26 / $799.02 / $1,086.22	Professional		$672.26	$799.02	$1,086.22