Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.64 / $4,933.00 / $4,933.00	Facility		$901.64	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.45 / $901.64 / $936.32	Professional		$634.45	$901.64	$936.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,279.91 / $3,849.65 / $5,215.66	Facility		$3,279.91	$3,849.65	$5,215.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $771.32 / $1,738.50	Professional		$182.44	$771.32	$1,738.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.04 / $867.16 / $1,495.95	Professional		$518.04	$867.16	$1,495.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $729.65 / $901.64 / $4,933.00	Facility		$729.65	$901.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $705.06 / $802.61 / $1,168.02	Professional		$705.06	$802.61	$1,168.02
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 $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 $703.87 / $862.25 / $1,151.42	Professional		$703.87	$862.25	$1,151.42