Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.86 / $4,933.00 / $4,933.00	Facility		$900.86	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.29 / $900.86 / $998.15	Professional		$784.29	$900.86	$998.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.02 / $4,795.30 / $6,532.52	Facility		$4,108.02	$4,795.30	$6,532.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.26 / $806.10 / $1,483.24	Professional		$219.26	$806.10	$1,483.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.15 / $1,146.70 / $1,729.32	Professional		$778.15	$1,146.70	$1,729.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $900.86 / $4,933.00 / $4,933.00	Facility		$900.86	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $900.86 / $958.45 / $1,388.20	Professional		$900.86	$958.45	$1,388.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $739.55 / $1,136.18	Professional		$54.60	$739.55	$1,136.18
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 $969.08 / $1,090.83 / $1,495.58	Professional		$969.08	$1,090.83	$1,495.58