Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.83 / $4,112.00 / $4,933.00	Facility		$845.83	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.04 / $773.80 / $881.07	Professional		$618.04	$773.80	$881.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,510.91 / $4,098.29 / $5,583.00	Facility		$3,510.91	$4,098.29	$5,583.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $1,010.50 / $1,435.97	Professional		$188.06	$1,010.50	$1,435.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.55 / $770.51 / $1,458.99	Professional		$633.55	$770.51	$1,458.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $741.10 / $4,112.00 / $4,933.00	Facility		$741.10	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $734.61 / $773.80 / $1,094.49	Professional		$734.61	$773.80	$1,094.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $534.32 / $871.59	Professional		$68.66	$534.32	$871.59
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 $762.93 / $919.52 / $1,241.48	Professional		$762.93	$919.52	$1,241.48