Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.63 / $4,933.00 / $4,933.00	Facility		$901.63	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.55 / $863.91 / $901.63	Professional		$659.55	$863.91	$901.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,071.96 / $4,753.21 / $6,475.17	Facility		$4,071.96	$4,753.21	$6,475.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $1,498.02 / $1,971.07	Professional		$210.24	$1,498.02	$1,971.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.85 / $824.57 / $1,450.02	Professional		$653.85	$824.57	$1,450.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $728.53 / $4,933.00 / $4,933.00	Facility		$728.53	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $728.53 / $798.44 / $1,172.85	Professional		$728.53	$798.44	$1,172.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $576.72 / $726.76 / $1,048.89	Professional		$576.72	$726.76	$1,048.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.74 / $969.86 / $1,247.50	Professional		$807.74	$969.86	$1,247.50