Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.15 / $4,933.00 / $4,933.00	Facility		$706.15	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.28 / $706.15 / $706.15	Professional		$535.28	$706.15	$706.15
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 $548.21 / $3,063.55 / $3,586.93	Professional		$548.21	$3,063.55	$3,586.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.77 / $695.15 / $1,111.08	Professional		$506.77	$695.15	$1,111.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $587.17 / $4,933.00 / $4,933.00	Facility		$587.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $587.17 / $706.15 / $1,990.26	Professional		$587.17	$706.15	$1,990.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
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 $744.48 / $1,346.35 / $1,970.63	Professional		$744.48	$1,346.35	$1,970.63