Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.77 / $4,933.00 / $4,933.00	Facility		$944.77	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.72 / $944.77 / $944.77	Professional		$729.72	$944.77	$944.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,190.10 / $4,891.10 / $6,663.04	Facility		$4,190.10	$4,891.10	$6,663.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $1,170.73 / $2,090.59	Professional		$223.00	$1,170.73	$2,090.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.72 / $856.03 / $1,521.59	Professional		$690.72	$856.03	$1,521.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $750.09 / $4,933.00 / $4,933.00	Facility		$750.09	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $750.09 / $840.67 / $1,201.14	Professional		$750.09	$840.67	$1,201.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $637.37 / $967.48	Professional		$65.66	$637.37	$967.48
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 $808.44 / $968.43 / $1,251.35	Professional		$808.44	$968.43	$1,251.35