Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.13 / $4,933.00 / $4,933.00	Facility		$904.13	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.61 / $904.13 / $904.13	Professional		$698.61	$904.13	$904.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,442.89 / $4,018.89 / $5,474.83	Facility		$3,442.89	$4,018.89	$5,474.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.84 / $1,015.70 / $1,667.90	Professional		$190.84	$1,015.70	$1,667.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.56 / $819.35 / $1,455.93	Professional		$661.56	$819.35	$1,455.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $717.91 / $4,933.00 / $4,933.00	Facility		$717.91	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $717.91 / $805.23 / $1,149.11	Professional		$717.91	$805.23	$1,149.11
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 $778.72 / $961.46 / $1,208.51	Professional		$778.72	$961.46	$1,208.51