Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.86 / $4,112.00 / $4,933.00	Facility		$799.86	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.95 / $799.86 / $830.63	Professional		$562.95	$799.86	$830.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.85 / $909.26 / $1,507.46	Professional		$181.85	$909.26	$1,507.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.10 / $681.42 / $1,330.08	Professional		$461.10	$681.42	$1,330.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $631.11 / $4,112.00 / $4,933.00	Facility		$631.11	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $627.23 / $698.67 / $1,026.35	Professional		$627.23	$698.67	$1,026.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $413.70 / $709.09	Professional		$68.50	$413.70	$709.09
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 $616.32 / $730.31 / $1,003.96	Professional		$616.32	$730.31	$1,003.96