Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.25 / $4,933.00 / $4,933.00	Facility		$937.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.13 / $937.25 / $973.30	Professional		$666.13	$937.25	$973.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.55 / $3,972.97 / $5,412.27	Facility		$3,403.55	$3,972.97	$5,412.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $762.31 / $1,891.57	Professional		$186.41	$762.31	$1,891.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.29 / $894.30 / $1,466.96	Professional		$660.29	$894.30	$1,466.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $4,933.00 / $4,933.00	Facility		$772.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $772.00 / $834.87 / $1,280.46	Professional		$772.00	$834.87	$1,280.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $547.62 / $885.27	Professional		$68.50	$547.62	$885.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $920.76 / $1,217.22	Professional		$756.00	$920.76	$1,217.22