Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.17 / $2,877.00 / $4,933.00	Facility		$923.17	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $923.17 / $958.67	Professional		$649.61	$923.17	$958.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,908.84 / $3,414.12 / $4,625.59	Facility		$2,908.84	$3,414.12	$4,625.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $1,108.01 / $1,911.32	Professional		$188.37	$1,108.01	$1,911.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.05 / $821.79 / $1,540.92	Professional		$533.05	$821.79	$1,540.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $730.65 / $2,877.00 / $4,933.00	Facility		$730.65	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $803.71 / $1,184.44	Professional		$724.77	$803.71	$1,184.44
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 $1,166.63 / $4,835.00 / $7,355.00	Facility		$1,166.63	$4,835.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.99 / $851.68 / $1,172.46	Professional		$716.99	$851.68	$1,172.46