Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.08 / $4,933.00 / $4,933.00	Facility		$914.08	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.80 / $914.08 / $949.24	Professional		$650.80	$914.08	$949.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,358.01 / $3,919.81 / $5,339.86	Facility		$3,358.01	$3,919.81	$5,339.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $698.04 / $1,183.14	Professional		$188.06	$698.04	$1,183.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.59 / $977.84 / $1,420.83	Professional		$640.59	$977.84	$1,420.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $776.54 / $4,933.00 / $4,933.00	Facility		$776.54	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $776.54 / $813.49 / $1,284.19	Professional		$776.54	$813.49	$1,284.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $612.66 / $941.86	Professional		$54.60	$612.66	$941.86
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 $808.57 / $906.08 / $1,414.72	Professional		$808.57	$906.08	$1,414.72