Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.33 / $4,933.00 / $4,933.00	Facility		$841.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.13 / $841.33 / $841.33	Professional		$621.13	$841.33	$841.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,181.65 / $3,708.32 / $5,024.18	Facility		$3,181.65	$3,708.32	$5,024.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $970.77 / $1,328.42	Professional		$173.71	$970.77	$1,328.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.75 / $903.47 / $1,369.59	Professional		$550.75	$903.47	$1,369.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $738.32 / $4,933.00 / $4,933.00	Facility		$738.32	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $738.32 / $773.63 / $1,198.09	Professional		$738.32	$773.63	$1,198.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $493.85 / $816.23	Professional		$68.66	$493.85	$816.23
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 $705.89 / $819.09 / $1,117.97	Professional		$705.89	$819.09	$1,117.97