Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.99 / $4,112.00 / $4,933.00	Facility		$892.99	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.08 / $892.99 / $927.34	Professional		$628.08	$892.99	$927.34
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 $208.24 / $1,065.18 / $1,837.44	Professional		$208.24	$1,065.18	$1,837.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.27 / $815.76 / $1,481.13	Professional		$513.27	$815.76	$1,481.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $697.95 / $4,112.00 / $4,933.00	Facility		$697.95	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $697.95 / $781.45 / $1,120.80	Professional		$697.95	$781.45	$1,120.80
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 $650.91 / $795.56 / $1,048.81	Professional		$650.91	$795.56	$1,048.81