Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.86 / $4,112.00 / $4,933.00	Facility		$944.86	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.89 / $756.49 / $981.20	Professional		$629.89	$756.49	$981.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.24 / $1,181.19 / $1,822.39	Professional		$191.24	$1,181.19	$1,822.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.67 / $869.98 / $1,566.28	Professional		$542.67	$869.98	$1,566.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $752.60 / $4,112.00 / $4,933.00	Facility		$752.60	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $737.11 / $827.86 / $1,224.84	Professional		$737.11	$827.86	$1,224.84
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 $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.47 / $880.70 / $1,202.47	Professional		$742.47	$880.70	$1,202.47