Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.06 / $4,933.00 / $4,933.00	Facility		$899.06	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.66 / $816.51 / $899.06	Professional		$616.66	$816.51	$899.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,386.59 / $3,528.58 / $4,729.97	Facility		$2,386.59	$3,528.58	$4,729.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $657.33 / $1,262.08	Professional		$185.94	$657.33	$1,262.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.83 / $862.20 / $1,651.15	Professional		$644.83	$862.20	$1,651.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $714.37 / $4,933.00 / $4,933.00	Facility		$714.37	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $701.92 / $779.20 / $1,113.29	Professional		$701.92	$779.20	$1,113.29
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 $706.23 / $906.70 / $1,143.42	Professional		$706.23	$906.70	$1,143.42