Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.28 / $2,877.00 / $4,933.00	Facility		$990.28	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.47 / $892.32 / $1,172.56	Professional		$701.47	$892.32	$1,172.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.84 / $784.98 / $1,375.57	Professional		$233.84	$784.98	$1,375.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $946.91 / $1,878.78	Professional		$638.79	$946.91	$1,878.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $910.97 / $2,877.00 / $4,933.00	Facility		$910.97	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $860.05 / $990.28 / $1,353.01	Professional		$860.05	$990.28	$1,353.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $620.10 / $1,038.00	Professional		$103.11	$620.10	$1,038.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.37 / $1,048.03 / $1,440.68	Professional		$881.37	$1,048.03	$1,440.68