Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.77 / $2,056.00 / $4,933.00	Facility		$886.77	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.91 / $886.77 / $920.88	Professional		$621.91	$886.77	$920.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $875.08 / $1,829.71	Professional		$187.52	$875.08	$1,829.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.23 / $805.73 / $1,468.32	Professional		$510.23	$805.73	$1,468.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $701.52 / $2,056.00 / $4,933.00	Facility		$701.52	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $695.68 / $771.67 / $1,142.74	Professional		$695.68	$771.67	$1,142.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $460.38 / $784.12	Professional		$68.56	$460.38	$784.12
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.32 / $808.36 / $1,051.02	Professional		$656.32	$808.36	$1,051.02