Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.62 / $4,933.00 / $5,757.00	Facility		$920.62	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.83 / $867.01 / $956.03	Professional		$678.83	$867.01	$956.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,540.23 / $4,155.18 / $5,629.62	Facility		$3,540.23	$4,155.18	$5,629.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.31 / $766.33 / $1,778.87	Professional		$190.31	$766.33	$1,778.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.07 / $902.29 / $1,456.58	Professional		$561.07	$902.29	$1,456.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $896.45 / $4,933.00 / $5,757.00	Facility		$896.45	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $717.79 / $896.45 / $1,194.04	Professional		$717.79	$896.45	$1,194.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $477.31 / $824.09	Professional		$68.73	$477.31	$824.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.66 / $986.24 / $1,283.29	Professional		$780.66	$986.24	$1,283.29