Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.09 / $4,933.00 / $4,933.00	Facility		$935.09	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.68 / $935.09 / $971.06	Professional		$661.68	$935.09	$971.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,249.01 / $3,813.39 / $5,166.53	Facility		$3,249.01	$3,813.39	$5,166.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $1,112.49 / $1,919.05	Professional		$196.68	$1,112.49	$1,919.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.61 / $816.73 / $1,556.21	Professional		$537.61	$816.73	$1,556.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $710.19 / $935.09 / $4,933.00	Facility		$710.19	$935.09	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $710.19 / $796.77 / $1,157.90	Professional		$710.19	$796.77	$1,157.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $491.28 / $827.57	Professional		$68.50	$491.28	$827.57
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 $703.07 / $828.17 / $1,085.06	Professional		$703.07	$828.17	$1,085.06