Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.31 / $4,112.00 / $4,933.00	Facility		$881.31	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $881.31 / $915.21	Professional		$619.79	$881.31	$915.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,932.51 / $3,441.90 / $4,663.22	Facility		$2,932.51	$3,441.90	$4,663.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $1,049.74 / $1,751.44	Professional		$178.45	$1,049.74	$1,751.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.85 / $847.80 / $1,460.95	Professional		$505.85	$847.80	$1,460.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $713.33 / $4,112.00 / $4,933.00	Facility		$713.33	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $689.47 / $784.66 / $1,140.73	Professional		$689.47	$784.66	$1,140.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $469.29 / $797.08	Professional		$68.56	$469.29	$797.08
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 $695.34 / $856.62 / $1,118.82	Professional		$695.34	$856.62	$1,118.82