Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.60 / $4,933.00 / $4,933.00	Facility		$973.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.39 / $973.60 / $1,014.16	Professional		$683.39	$973.60	$1,014.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,730.56 / $4,354.68 / $5,932.27	Facility		$3,730.56	$4,354.68	$5,932.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.75 / $794.33 / $1,283.15	Professional		$207.75	$794.33	$1,283.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.17 / $889.69 / $1,676.50	Professional		$726.17	$889.69	$1,676.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $843.57 / $4,933.00 / $4,933.00	Facility		$843.57	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $843.57 / $903.61 / $1,259.28	Professional		$843.57	$903.61	$1,259.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $662.82 / $1,008.08	Professional		$98.78	$662.82	$1,008.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $879.45 / $1,043.91 / $1,341.01	Professional		$879.45	$1,043.91	$1,341.01