Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.78 / $4,112.00 / $4,933.00	Facility		$835.78	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.96 / $835.78 / $867.93	Professional		$587.96	$835.78	$867.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $998.95 / $1,723.19	Professional		$169.82	$998.95	$1,723.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.15 / $731.12 / $1,387.83	Professional		$481.15	$731.12	$1,387.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $662.76 / $4,112.00 / $4,933.00	Facility		$662.76	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $655.16 / $729.03 / $1,080.85	Professional		$655.16	$729.03	$1,080.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $460.38 / $784.12	Professional		$68.56	$460.38	$784.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,978.00 / $9,202.00	Facility		$2,500.00	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.75 / $768.50 / $1,052.73	Professional		$656.75	$768.50	$1,052.73