Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.37 / $4,933.00 / $4,933.00	Facility		$822.37	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.71 / $822.37 / $822.37	Professional		$605.71	$822.37	$822.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,205.59 / $2,574.58 / $3,507.29	Facility		$2,205.59	$2,574.58	$3,507.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $821.43 / $1,082.88	Professional		$165.50	$821.43	$1,082.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.67 / $802.70 / $1,327.59	Professional		$601.67	$802.70	$1,327.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $667.32 / $4,933.00 / $4,933.00	Facility		$667.32	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $667.32 / $732.91 / $1,059.47	Professional		$667.32	$732.91	$1,059.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $551.22 / $817.97	Professional		$65.66	$551.22	$817.97
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 $738.25 / $861.00 / $1,094.85	Professional		$738.25	$861.00	$1,094.85