Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.25 / $4,933.00 / $5,757.00	Facility		$894.25	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.83 / $894.25 / $928.65	Professional		$628.83	$894.25	$928.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,055.63 / $3,586.41 / $4,859.02	Facility		$3,055.63	$3,586.41	$4,859.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $1,064.68 / $1,836.58	Professional		$202.29	$1,064.68	$1,836.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.78 / $827.79 / $1,483.70	Professional		$513.78	$827.79	$1,483.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $711.62 / $4,933.00 / $5,757.00	Facility		$711.62	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $698.95 / $782.78 / $1,157.77	Professional		$698.95	$782.78	$1,157.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $469.29 / $797.08	Professional		$68.56	$469.29	$797.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.28 / $832.45 / $1,130.53	Professional		$697.28	$832.45	$1,130.53