Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.57 / $4,112.00 / $4,933.00	Facility		$852.57	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.14 / $791.60 / $888.10	Professional		$622.14	$791.60	$888.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,104.36 / $8,280.37 / $11,218.60	Facility		$7,104.36	$8,280.37	$11,218.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $635.70 / $1,190.89	Professional		$182.02	$635.70	$1,190.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.38 / $777.23 / $1,469.40	Professional		$637.38	$777.23	$1,469.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $733.66 / $4,112.00 / $4,933.00	Facility		$733.66	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $810.28 / $1,096.33	Professional		$733.66	$810.28	$1,096.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $524.56 / $863.80	Professional		$68.66	$524.56	$863.80
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 $772.00 / $936.59 / $1,190.09	Professional		$772.00	$936.59	$1,190.09