Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.07 / $4,933.00 / $5,757.00	Facility		$832.07	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.54 / $832.07 / $832.07	Professional		$642.54	$832.07	$832.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,770.68 / $5,568.82 / $7,586.26	Facility		$4,770.68	$5,568.82	$7,586.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $933.39 / $1,639.28	Professional		$167.03	$933.39	$1,639.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.33 / $776.47 / $1,341.38	Professional		$608.33	$776.47	$1,341.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $770.37 / $4,933.00 / $5,757.00	Facility		$770.37	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $741.18 / $770.37 / $1,137.83	Professional		$741.18	$770.37	$1,137.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $557.12 / $857.51	Professional		$65.66	$557.12	$857.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,141.70 / $15,441.57	Facility		$4,635.00	$10,141.70	$15,441.57
United Facility/Professional Professional Modifier Low / Median / High Price $710.90 / $880.79 / $1,109.15	Professional		$710.90	$880.79	$1,109.15