Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.26 / $4,933.00 / $4,933.00	Facility		$906.26	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.37 / $906.26 / $906.26	Professional		$666.37	$906.26	$906.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,351.50 / $3,912.21 / $5,329.50	Facility		$3,351.50	$3,912.21	$5,329.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.84 / $835.66 / $1,390.56	Professional		$181.84	$835.66	$1,390.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.07 / $821.42 / $1,459.34	Professional		$662.07	$821.42	$1,459.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $720.44 / $4,933.00 / $4,933.00	Facility		$720.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $720.44 / $806.24 / $1,151.97	Professional		$720.44	$806.24	$1,151.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $604.20 / $921.69	Professional		$65.66	$604.20	$921.69
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 $780.23 / $939.67 / $1,207.60	Professional		$780.23	$939.67	$1,207.60