Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.66 / $4,112.00 / $4,933.00	Facility		$772.66	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.53 / $719.00 / $802.38	Professional		$551.53	$719.00	$802.38
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 $175.00 / $905.48 / $1,644.17	Professional		$175.00	$905.48	$1,644.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.49 / $757.65 / $1,336.60	Professional		$451.49	$757.65	$1,336.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $683.72 / $4,112.00 / $4,933.00	Facility		$683.72	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $600.36 / $713.23 / $1,002.14	Professional		$600.36	$713.23	$1,002.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $459.70 / $740.77	Professional		$68.50	$459.70	$740.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.70 / $788.63 / $1,044.58	Professional		$666.70	$788.63	$1,044.58