Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.43 / $4,112.00 / $4,933.00	Facility		$893.43	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.40 / $893.43 / $927.79	Professional		$628.40	$893.43	$927.79
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 $181.17 / $765.96 / $1,806.32	Professional		$181.17	$765.96	$1,806.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.67 / $817.60 / $1,483.37	Professional		$513.67	$817.60	$1,483.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $710.39 / $4,112.00 / $4,933.00	Facility		$710.39	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $699.41 / $781.42 / $1,157.35	Professional		$699.41	$781.42	$1,157.35
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 $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.58 / $819.50 / $1,122.21	Professional		$704.58	$819.50	$1,122.21