Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.90 / $2,877.00 / $4,933.00	Facility		$802.90	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.14 / $802.90 / $802.90	Professional		$591.14	$802.90	$802.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.25 / $4,074.17 / $5,550.14	Facility		$3,490.25	$4,074.17	$5,550.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $624.17 / $1,093.82	Professional		$161.69	$624.17	$1,093.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.54 / $727.34 / $1,293.75	Professional		$587.54	$727.34	$1,293.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $638.54 / $2,877.00 / $4,933.00	Facility		$638.54	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $638.54 / $716.25 / $1,037.54	Professional		$638.54	$716.25	$1,037.54
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 $2,248.00 / $5,202.00 / $8,339.00	Facility		$2,248.00	$5,202.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.81 / $850.94 / $1,072.35	Professional		$690.81	$850.94	$1,072.35