Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.01 / $4,933.00 / $4,933.00	Facility		$994.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.21 / $868.07 / $994.01	Professional		$674.21	$868.07	$994.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,712.33 / $4,010.18 / $5,375.54	Facility		$2,712.33	$4,010.18	$5,375.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $725.80 / $1,242.02	Professional		$205.32	$725.80	$1,242.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.15 / $951.98 / $1,800.32	Professional		$715.15	$951.98	$1,800.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $774.43 / $4,933.00 / $4,933.00	Facility		$774.43	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $774.43 / $849.66 / $1,222.32	Professional		$774.43	$849.66	$1,222.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $665.08 / $1,000.29	Professional		$65.27	$665.08	$1,000.29
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 $787.82 / $988.81 / $1,298.05	Professional		$787.82	$988.81	$1,298.05