Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.99 / $4,933.00 / $4,933.00	Facility		$908.99	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.74 / $908.99 / $943.95	Professional		$647.74	$908.99	$943.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,187.19 / $3,740.82 / $5,068.22	Facility		$3,187.19	$3,740.82	$5,068.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.52 / $740.87 / $1,239.27	Professional		$190.52	$740.87	$1,239.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.24 / $768.21 / $1,552.09	Professional		$520.24	$768.21	$1,552.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $738.86 / $908.99 / $6,906.00	Facility		$738.86	$908.99	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $709.79 / $803.49 / $1,144.93	Professional		$709.79	$803.49	$1,144.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $491.28 / $827.57	Professional		$68.50	$491.28	$827.57
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 $683.81 / $819.97 / $1,114.81	Professional		$683.81	$819.97	$1,114.81