Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.35 / $4,112.00 / $4,933.00	Facility		$878.35	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.65 / $703.50 / $912.13	Professional		$617.65	$703.50	$912.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $882.36 / $1,744.80	Professional		$177.78	$882.36	$1,744.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.16 / $804.39 / $1,455.31	Professional		$504.16	$804.39	$1,455.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $695.15 / $4,112.00 / $4,933.00	Facility		$695.15	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $686.81 / $764.66 / $1,130.35	Professional		$686.81	$764.66	$1,130.35
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 $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 $675.42 / $807.85 / $1,110.80	Professional		$675.42	$807.85	$1,110.80