Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.71 / $4,933.00 / $4,933.00	Facility		$870.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.94 / $870.71 / $904.20	Professional		$627.94	$870.71	$904.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,436.10 / $4,032.97 / $5,464.04	Facility		$3,436.10	$4,032.97	$5,464.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.27 / $724.92 / $1,303.46	Professional		$177.27	$724.92	$1,303.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.18 / $848.73 / $1,546.40	Professional		$507.18	$848.73	$1,546.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $698.83 / $870.71 / $6,906.00	Facility		$698.83	$870.71	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $677.23 / $767.82 / $1,129.31	Professional		$677.23	$767.82	$1,129.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $469.26 / $790.42	Professional		$68.56	$469.26	$790.42
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 $698.83 / $862.68 / $1,192.24	Professional		$698.83	$862.68	$1,192.24