Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.98 / $4,933.00 / $5,757.00	Facility		$936.98	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $829.59 / $936.98	Professional		$678.17	$829.59	$936.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,184.76 / $4,708.67 / $6,500.78	Facility		$3,184.76	$4,708.67	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $698.42 / $1,242.96	Professional		$189.97	$698.42	$1,242.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.39 / $883.08 / $1,752.93	Professional		$606.39	$883.08	$1,752.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $758.34 / $4,933.00 / $5,757.00	Facility		$758.34	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $727.07 / $821.76 / $1,174.53	Professional		$727.07	$821.76	$1,174.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $624.70 / $934.42	Professional		$65.50	$624.70	$934.42
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 $711.43 / $968.03 / $1,250.48	Professional		$711.43	$968.03	$1,250.48