Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.32 / $4,933.00 / $5,757.00	Facility		$848.32	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.89 / $771.67 / $848.32	Professional		$585.89	$771.67	$848.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,934.25 / $5,816.79 / $8,030.65	Facility		$3,934.25	$5,816.79	$8,030.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.31 / $715.85 / $1,075.64	Professional		$169.31	$715.85	$1,075.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.94 / $813.92 / $1,545.48	Professional		$594.94	$813.92	$1,545.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $679.18 / $4,933.00 / $5,757.00	Facility		$679.18	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $663.88 / $727.11 / $1,059.26	Professional		$663.88	$727.11	$1,059.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $552.34 / $844.36	Professional		$65.50	$552.34	$844.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,573.10 / $10,032.00 / $12,767.00	Facility		$4,573.10	$10,032.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.92 / $859.42 / $1,123.84	Professional		$680.92	$859.42	$1,123.84