Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.04 / $4,933.00 / $4,933.00	Facility		$890.04	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.44 / $805.07 / $933.12	Professional		$626.44	$805.07	$933.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,520.94 / $3,727.22 / $4,996.24	Facility		$2,520.94	$3,727.22	$4,996.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $861.70 / $1,238.70	Professional		$183.11	$861.70	$1,238.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.36 / $866.79 / $1,702.74	Professional		$623.36	$866.79	$1,702.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $727.68 / $4,933.00 / $4,933.00	Facility		$727.68	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $719.51 / $788.03 / $1,101.25	Professional		$719.51	$788.03	$1,101.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $612.86 / $929.08	Professional		$65.50	$612.86	$929.08
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $900.09 / $1,156.27	Professional		$700.25	$900.09	$1,156.27