Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.03 / $4,112.00 / $4,933.00	Facility		$911.03	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.27 / $911.03 / $946.07	Professional		$654.27	$911.03	$946.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,157.49 / $3,705.97 / $5,021.00	Facility		$3,157.49	$3,705.97	$5,021.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.47 / $860.91 / $1,694.92	Professional		$204.47	$860.91	$1,694.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.53 / $807.30 / $1,567.26	Professional		$525.53	$807.30	$1,567.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $682.80 / $4,112.00 / $4,933.00	Facility		$682.80	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $682.80 / $759.72 / $1,133.05	Professional		$682.80	$759.72	$1,133.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $487.63 / $799.51	Professional		$68.56	$487.63	$799.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.89 / $807.18 / $1,099.25	Professional		$677.89	$807.18	$1,099.25