Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.92 / $4,112.00 / $4,933.00	Facility		$884.92	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $884.92 / $930.16	Professional		$635.66	$884.92	$930.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,055.63 / $3,586.41 / $4,859.02	Facility		$3,055.63	$3,586.41	$4,859.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $786.94 / $1,699.79	Professional		$173.13	$786.94	$1,699.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.61 / $747.48 / $1,507.47	Professional		$510.61	$747.48	$1,507.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $645.22 / $4,112.00 / $4,933.00	Facility		$645.22	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $645.22 / $741.39 / $1,065.49	Professional		$645.22	$741.39	$1,065.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $468.05 / $792.27	Professional		$68.56	$468.05	$792.27
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 $637.04 / $772.57 / $1,027.61	Professional		$637.04	$772.57	$1,027.61