Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.80 / $4,112.00 / $4,933.00	Facility		$968.80	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.64 / $968.80 / $968.80	Professional		$712.64	$968.80	$968.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,676.89 / $4,292.04 / $5,846.93	Facility		$3,676.89	$4,292.04	$5,846.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.52 / $715.54 / $1,545.56	Professional		$217.52	$715.54	$1,545.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $879.63 / $1,560.17	Professional		$707.95	$879.63	$1,560.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $766.38 / $4,112.00 / $4,933.00	Facility		$766.38	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $766.38 / $862.84 / $1,324.64	Professional		$766.38	$862.84	$1,324.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $654.78 / $973.91	Professional		$65.66	$654.78	$973.91
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 $854.32 / $1,038.89 / $1,316.41	Professional		$854.32	$1,038.89	$1,316.41