Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.44 / $4,933.00 / $4,933.00	Facility		$828.44	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.71 / $828.44 / $903.31	Professional		$582.71	$828.44	$903.31
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 $163.59 / $901.35 / $1,654.24	Professional		$163.59	$901.35	$1,654.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.50 / $759.30 / $1,377.20	Professional		$477.50	$759.30	$1,377.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $655.20 / $828.44 / $6,906.00	Facility		$655.20	$828.44	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $649.82 / $742.65 / $1,069.13	Professional		$649.82	$742.65	$1,069.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $460.34 / $762.94	Professional		$68.56	$460.34	$762.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.17 / $6,978.00 / $9,202.00	Facility		$2,365.17	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.26 / $767.64 / $1,049.71	Professional		$648.26	$767.64	$1,049.71