Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.22 / $4,933.00 / $4,933.00	Facility		$951.22	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.61 / $823.23 / $951.22	Professional		$654.61	$823.23	$951.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,650.39 / $3,918.61 / $5,410.02	Facility		$2,650.39	$3,918.61	$5,410.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $694.99 / $1,278.80	Professional		$202.27	$694.99	$1,278.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.30 / $905.65 / $1,757.38	Professional		$685.30	$905.65	$1,757.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $760.12 / $4,933.00 / $4,933.00	Facility		$760.12	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $742.18 / $820.36 / $1,181.23	Professional		$742.18	$820.36	$1,181.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $625.25 / $958.51	Professional		$65.50	$625.25	$958.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $8,911.00	Facility		$2,500.00	$7,780.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.09 / $967.52 / $1,232.99	Professional		$766.09	$967.52	$1,232.99