Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.45 / $2,877.00 / $4,933.00	Facility		$957.45	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.48 / $896.34 / $957.45	Professional		$695.48	$896.34	$957.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.91 / $1,512.47 / $2,027.42	Facility		$1,132.91	$1,512.47	$2,027.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $708.07 / $1,260.14	Professional		$214.22	$708.07	$1,260.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.46 / $891.34 / $1,770.62	Professional		$634.46	$891.34	$1,770.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $772.74 / $2,877.00 / $4,933.00	Facility		$772.74	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $748.30 / $836.16 / $1,167.65	Professional		$748.30	$836.16	$1,167.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $632.50 / $953.87	Professional		$65.50	$632.50	$953.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.70 / $987.51 / $1,253.70	Professional		$751.70	$987.51	$1,253.70