Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.96 / $4,112.00 / $4,933.00	Facility		$903.96	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.26 / $903.96 / $903.96	Professional		$698.26	$903.96	$903.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,960.39 / $3,455.67 / $4,707.58	Facility		$2,960.39	$3,455.67	$4,707.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $667.92 / $1,122.09	Professional		$181.67	$667.92	$1,122.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.80 / $873.97 / $1,454.88	Professional		$660.80	$873.97	$1,454.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $701.78 / $4,112.00 / $4,933.00	Facility		$701.78	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $701.78 / $805.09 / $1,142.69	Professional		$701.78	$805.09	$1,142.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $604.20 / $919.46	Professional		$65.66	$604.20	$919.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.34 / $936.92 / $1,186.05	Professional		$778.34	$936.92	$1,186.05