Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.66 / $4,112.00 / $4,933.00	Facility		$909.66	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.44 / $909.66 / $2,136.17	Professional		$702.44	$909.66	$2,136.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,071.96 / $4,753.21 / $6,475.17	Facility		$4,071.96	$4,753.21	$6,475.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.82 / $838.79 / $1,194.22	Professional		$189.82	$838.79	$1,194.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.51 / $873.37 / $1,464.80	Professional		$664.51	$873.37	$1,464.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $4,112.00 / $4,933.00	Facility		$745.00	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $809.29 / $1,349.48	Professional		$745.00	$809.29	$1,349.48
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 $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.89 / $938.04 / $1,192.98	Professional		$782.89	$938.04	$1,192.98