Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.49 / $4,112.00 / $4,933.00	Facility		$768.49	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.41 / $717.61 / $796.95	Professional		$561.41	$717.61	$796.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,005.67 / $3,503.21 / $4,746.30	Facility		$3,005.67	$3,503.21	$4,746.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.81 / $891.50 / $1,416.60	Professional		$169.81	$891.50	$1,416.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.70 / $791.01 / $1,044.26	Professional		$449.70	$791.01	$1,044.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $685.39 / $4,112.00 / $4,933.00	Facility		$685.39	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $640.62 / $685.39 / $988.01	Professional		$640.62	$685.39	$988.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $523.14 / $791.84	Professional		$49.63	$523.14	$791.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.54 / $849.28 / $1,113.74	Professional		$705.54	$849.28	$1,113.74