Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.42 / $4,933.00 / $4,933.00	Facility		$982.42	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.63 / $982.42 / $1,018.80	Professional		$697.63	$982.42	$1,018.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,575.13 / $4,170.27 / $5,867.26	Facility		$3,575.13	$4,170.27	$5,867.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $706.87 / $1,130.99	Professional		$183.11	$706.87	$1,130.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.84 / $1,096.85 / $1,376.67	Professional		$653.84	$1,096.85	$1,376.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $818.37 / $4,933.00 / $4,933.00	Facility		$818.37	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $818.37 / $834.07 / $1,073.11	Professional		$818.37	$834.07	$1,073.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $581.86 / $729.44 / $1,091.65	Professional		$581.86	$729.44	$1,091.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.30 / $1,085.70 / $1,435.36	Professional		$856.30	$1,085.70	$1,435.36