Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.02 / $4,933.00 / $4,933.00	Facility		$990.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.74 / $946.33 / $990.02	Professional		$727.74	$946.33	$990.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,828.97 / $3,302.26 / $4,498.58	Facility		$2,828.97	$3,302.26	$4,498.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.22 / $759.04 / $1,751.66	Professional		$238.22	$759.04	$1,751.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.66 / $898.01 / $1,594.03	Professional		$722.66	$898.01	$1,594.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $784.72 / $4,933.00 / $4,933.00	Facility		$784.72	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $784.72 / $878.88 / $1,274.30	Professional		$784.72	$878.88	$1,274.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $700.20 / $1,052.30	Professional		$65.66	$700.20	$1,052.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.82 / $1,029.39 / $1,332.82	Professional		$872.82	$1,029.39	$1,332.82