Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.85 / $4,933.00 / $4,933.00	Facility		$992.85	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.53 / $991.81 / $1,031.04	Professional		$698.53	$991.81	$1,031.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,551.60 / $4,168.53 / $5,647.70	Facility		$3,551.60	$4,168.53	$5,647.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $767.14 / $1,770.32	Professional		$200.63	$767.14	$1,770.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.57 / $915.25 / $1,646.77	Professional		$569.57	$915.25	$1,646.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $791.57 / $992.85 / $4,933.00	Facility		$791.57	$992.85	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $776.60 / $870.72 / $1,286.57	Professional		$776.60	$870.72	$1,286.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $533.04 / $903.98	Professional		$68.50	$533.04	$903.98
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 $779.55 / $923.41 / $1,248.86	Professional		$779.55	$923.41	$1,248.86