Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.33 / $4,933.00 / $4,933.00	Facility		$988.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.35 / $988.33 / $1,029.51	Professional		$701.35	$988.33	$1,029.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.18 / $5,349.96 / $7,288.11	Facility		$4,583.18	$5,349.96	$7,288.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.42 / $862.36 / $1,426.54	Professional		$221.42	$862.36	$1,426.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.17 / $903.04 / $1,701.81	Professional		$737.17	$903.04	$1,701.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $860.36 / $4,933.00 / $4,933.00	Facility		$860.36	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $860.36 / $939.44 / $1,387.97	Professional		$860.36	$939.44	$1,387.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $667.79 / $1,035.75	Professional		$98.23	$667.79	$1,035.75
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 $884.88 / $1,086.94 / $1,662.38	Professional		$884.88	$1,086.94	$1,662.38