Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.09 / $4,933.00 / $4,933.00	Facility		$892.09	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.88 / $892.09 / $892.09	Professional		$688.88	$892.09	$892.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,279.46 / $2,660.82 / $3,624.76	Facility		$2,279.46	$2,660.82	$3,624.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.05 / $691.18 / $1,171.51	Professional		$179.05	$691.18	$1,171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.02 / $811.05 / $1,437.66	Professional		$652.02	$811.05	$1,437.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $715.29 / $4,933.00 / $4,933.00	Facility		$715.29	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $715.29 / $793.92 / $1,153.61	Professional		$715.29	$793.92	$1,153.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $600.05 / $906.30	Professional		$65.66	$600.05	$906.30
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 $780.39 / $944.60 / $1,224.50	Professional		$780.39	$944.60	$1,224.50