Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.00 / $4,112.00 / $4,933.00	Facility		$692.00	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.56 / $692.00 / $718.62	Professional		$486.56	$692.00	$718.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,346.11 / $4,518.33 / $10,610.69	Facility		$3,346.11	$4,518.33	$10,610.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $791.46 / $1,390.02	Professional		$141.63	$791.46	$1,390.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.63 / $585.89 / $1,153.03	Professional		$400.63	$585.89	$1,153.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $546.98 / $4,112.00 / $4,933.00	Facility		$546.98	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $544.05 / $601.66 / $861.06	Professional		$544.05	$601.66	$861.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $382.55 / $638.15	Professional		$68.50	$382.55	$638.15
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 $537.91 / $630.07 / $859.35	Professional		$537.91	$630.07	$859.35