Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.01 / $2,877.00 / $4,933.00	Facility		$899.01	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.11 / $899.01 / $933.59	Professional		$630.11	$899.01	$933.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,440.50 / $4,010.02 / $5,432.94	Facility		$3,440.50	$4,010.02	$5,432.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $686.21 / $1,174.27	Professional		$179.47	$686.21	$1,174.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.77 / $818.81 / $1,463.51	Professional		$502.77	$818.81	$1,463.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.14 / $2,877.00 / $4,933.00	Facility		$724.14	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $724.14 / $781.87 / $1,204.19	Professional		$724.14	$781.87	$1,204.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $520.86 / $831.34	Professional		$68.66	$520.86	$831.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.52 / $871.69 / $1,204.77	Professional		$712.52	$871.69	$1,204.77