Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.90 / $2,877.00 / $4,933.00	Facility		$918.90	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.92 / $918.90 / $954.24	Professional		$645.92	$918.90	$954.24
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 $185.99 / $923.12 / $1,706.73	Professional		$185.99	$923.12	$1,706.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.82 / $845.92 / $1,524.47	Professional		$527.82	$845.92	$1,524.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $726.47 / $2,877.00 / $4,933.00	Facility		$726.47	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $718.65 / $799.11 / $1,168.07	Professional		$718.65	$799.11	$1,168.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $499.91 / $839.64	Professional		$68.50	$499.91	$839.64
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 $715.79 / $857.01 / $1,189.67	Professional		$715.79	$857.01	$1,189.67