Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.55 / $4,933.00 / $5,757.00	Facility		$734.55	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.25 / $616.52 / $734.55	Professional		$481.25	$616.52	$734.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,986.16 / $4,733.08 / $6,500.78	Facility		$3,986.16	$4,733.08	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $628.15 / $972.10	Professional		$148.57	$628.15	$972.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.20 / $686.25 / $1,356.31	Professional		$510.20	$686.25	$1,356.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $526.96 / $4,933.00 / $5,757.00	Facility		$526.96	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $526.96 / $606.00 / $940.72	Professional		$526.96	$606.00	$940.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $480.26 / $717.31	Professional		$65.50	$480.26	$717.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,351.00	Facility		$3,500.00	$8,702.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.50 / $735.79 / $1,073.98	Professional		$582.50	$735.79	$1,073.98