Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.92 / $2,877.00 / $4,933.00	Facility		$880.92	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.01 / $760.54 / $914.80	Professional		$620.01	$760.54	$914.80
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 $174.44 / $759.87 / $1,712.70	Professional		$174.44	$759.87	$1,712.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.78 / $747.08 / $1,465.41	Professional		$508.78	$747.08	$1,465.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $685.56 / $2,877.00 / $4,933.00	Facility		$685.56	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $685.56 / $756.63 / $1,114.33	Professional		$685.56	$756.63	$1,114.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $491.28 / $827.57	Professional		$68.50	$491.28	$827.57
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 $681.21 / $802.25 / $1,099.99	Professional		$681.21	$802.25	$1,099.99