Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.91 / $4,112.00 / $4,933.00	Facility		$915.91	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.67 / $915.91 / $951.14	Professional		$643.67	$915.91	$951.14
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 $185.57 / $682.23 / $1,255.32	Professional		$185.57	$682.23	$1,255.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.65 / $840.52 / $1,519.26	Professional		$526.65	$840.52	$1,519.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $727.35 / $4,112.00 / $4,933.00	Facility		$727.35	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $814.63 / $1,186.89	Professional		$716.68	$814.63	$1,186.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $499.91 / $839.64	Professional		$68.50	$499.91	$839.64
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 $722.62 / $851.16 / $1,148.00	Professional		$722.62	$851.16	$1,148.00