Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.92 / $4,112.00 / $4,933.00	Facility		$819.92	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.57 / $710.66 / $851.45	Professional		$543.57	$710.66	$851.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.90 / $3,877.99 / $9,106.93	Facility		$2,871.90	$3,877.99	$9,106.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $784.82 / $1,530.39	Professional		$166.78	$784.82	$1,530.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.93 / $694.32 / $1,358.13	Professional		$471.93	$694.32	$1,358.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $651.63 / $4,112.00 / $4,933.00	Facility		$651.63	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $623.24 / $710.66 / $1,022.07	Professional		$623.24	$710.66	$1,022.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $427.57 / $738.91	Professional		$68.44	$427.57	$738.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,649.00 / $8,911.00	Facility		$2,500.00	$6,649.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.39 / $754.56 / $1,031.59	Professional		$636.39	$754.56	$1,031.59