Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.50 / $2,056.00 / $4,933.00	Facility		$924.50	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.63 / $924.28 / $960.06	Professional		$649.63	$924.28	$960.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,055.63 / $3,586.41 / $4,859.02	Facility		$3,055.63	$3,586.41	$4,859.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.09 / $765.09 / $1,733.36	Professional		$187.09	$765.09	$1,733.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.19 / $834.39 / $1,532.54	Professional		$531.19	$834.39	$1,532.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $737.20 / $2,056.00 / $4,933.00	Facility		$737.20	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $722.93 / $810.92 / $1,198.21	Professional		$722.93	$810.92	$1,198.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $499.91 / $839.64	Professional		$68.50	$499.91	$839.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,649.00 / $8,911.00	Facility		$2,500.00	$6,649.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.20 / $862.68 / $1,178.91	Professional		$737.20	$862.68	$1,178.91