Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.54 / $4,933.00 / $4,933.00	Facility		$918.54	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.90 / $918.54 / $953.87	Professional		$645.90	$918.54	$953.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,307.55 / $3,882.09 / $5,259.62	Facility		$3,307.55	$3,882.09	$5,259.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.41 / $792.09 / $1,901.00	Professional		$220.41	$792.09	$1,901.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.67 / $842.16 / $1,527.18	Professional		$529.67	$842.16	$1,527.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $739.66 / $918.54 / $4,933.00	Facility		$739.66	$918.54	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $722.43 / $813.62 / $1,181.93	Professional		$722.43	$813.62	$1,181.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $491.58 / $847.90	Professional		$68.50	$491.58	$847.90
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 $731.35 / $874.83 / $1,160.31	Professional		$731.35	$874.83	$1,160.31