Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.41 / $4,933.00 / $4,933.00	Facility		$977.41	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.66 / $977.41 / $977.41	Professional		$718.66	$977.41	$977.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,745.23 / $4,371.81 / $5,955.61	Facility		$3,745.23	$4,371.81	$5,955.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $720.52 / $1,282.29	Professional		$219.03	$720.52	$1,282.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.88 / $886.38 / $1,575.33	Professional		$713.88	$886.38	$1,575.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $802.32 / $4,933.00 / $4,933.00	Facility		$802.32	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $802.32 / $869.44 / $1,254.08	Professional		$802.32	$869.44	$1,254.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $660.58 / $1,009.15	Professional		$65.66	$660.58	$1,009.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.50 / $6,873.00 / $9,202.00	Facility		$3,235.50	$6,873.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.36 / $1,032.68 / $1,326.80	Professional		$848.36	$1,032.68	$1,326.80