Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.43 / $4,112.00 / $4,933.00	Facility		$794.43	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $794.43 / $824.98	Professional		$558.54	$794.43	$824.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $711.86 / $1,494.92	Professional		$161.35	$711.86	$1,494.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.39 / $1,802.85 / $1,981.35	Professional		$712.39	$1,802.85	$1,981.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $629.98 / $4,112.00 / $4,933.00	Facility		$629.98	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $622.30 / $692.97 / $1,025.78	Professional		$622.30	$692.97	$1,025.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $413.70 / $709.09	Professional		$68.50	$413.70	$709.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $15,078.00	Facility		$3,296.00	$7,849.00	$15,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.47 / $754.16 / $1,002.87	Professional		$628.47	$754.16	$1,002.87