Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.16 / $2,877.00 / $4,933.00	Facility		$834.16	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.26 / $810.54 / $866.25	Professional		$568.26	$810.54	$866.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.07 / $4,772.00 / $6,500.78	Facility		$4,088.07	$4,772.00	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $677.15 / $1,071.46	Professional		$172.21	$677.15	$1,071.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.52 / $722.65 / $1,355.94	Professional		$466.52	$722.65	$1,355.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $619.34 / $2,877.00 / $4,933.00	Facility		$619.34	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $619.34 / $693.66 / $1,045.36	Professional		$619.34	$693.66	$1,045.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $499.30 / $779.51	Professional		$68.66	$499.30	$779.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.47 / $753.49 / $1,069.05	Professional		$631.47	$753.49	$1,069.05