Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.84 / $4,933.00 / $4,933.00	Facility		$953.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.90 / $953.84 / $953.84	Professional		$687.90	$953.84	$953.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.76 / $4,058.42 / $5,528.69	Facility		$3,476.76	$4,058.42	$5,528.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.73 / $1,004.35 / $1,585.83	Professional		$179.73	$1,004.35	$1,585.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.44 / $816.03 / $1,440.22	Professional		$654.44	$816.03	$1,440.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $754.44 / $4,933.00 / $4,933.00	Facility		$754.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $754.44 / $796.17 / $1,219.27	Professional		$754.44	$796.17	$1,219.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $594.10 / $888.43	Professional		$65.66	$594.10	$888.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.87 / $955.44 / $1,278.91	Professional		$804.87	$955.44	$1,278.91