Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.63 / $4,933.00 / $4,933.00	Facility		$823.63	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.34 / $823.63 / $855.31	Professional		$586.34	$823.63	$855.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,232.72 / $3,794.27 / $5,140.63	Facility		$3,232.72	$3,794.27	$5,140.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $813.23 / $1,476.65	Professional		$145.52	$813.23	$1,476.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.30 / $816.68 / $1,385.16	Professional		$478.30	$816.68	$1,385.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $713.61 / $823.63 / $4,933.00	Facility		$713.61	$823.63	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $614.57 / $713.61 / $1,145.14	Professional		$614.57	$713.61	$1,145.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $413.19 / $665.61	Professional		$102.91	$413.19	$665.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.71 / $842.52 / $1,129.90	Professional		$649.71	$842.52	$1,129.90