Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.84 / $4,933.00 / $5,757.00	Facility		$939.84	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.09 / $939.84 / $975.99	Professional		$649.09	$939.84	$975.99
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 $195.28 / $1,049.29 / $1,739.63	Professional		$195.28	$1,049.29	$1,739.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.33 / $813.03 / $1,531.53	Professional		$525.33	$813.03	$1,531.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $694.58 / $4,933.00 / $5,757.00	Facility		$694.58	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $694.58 / $805.71 / $1,177.81	Professional		$694.58	$805.71	$1,177.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $548.20 / $875.97	Professional		$68.56	$548.20	$875.97
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 $693.93 / $876.54 / $1,190.90	Professional		$693.93	$876.54	$1,190.90