Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.76 / $4,933.00 / $4,933.00	Facility		$945.76	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.16 / $944.93 / $982.13	Professional		$666.16	$944.93	$982.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,416.55 / $4,010.02 / $5,432.94	Facility		$3,416.55	$4,010.02	$5,432.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $1,167.26 / $1,838.45	Professional		$198.44	$1,167.26	$1,838.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.28 / $871.83 / $1,567.63	Professional		$544.28	$871.83	$1,567.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $748.04 / $945.76 / $4,933.00	Facility		$748.04	$945.76	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $748.04 / $839.02 / $1,224.51	Professional		$748.04	$839.02	$1,224.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $532.50 / $887.08	Professional		$68.50	$532.50	$887.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.63 / $875.37 / $1,200.26	Professional		$745.63	$875.37	$1,200.26