Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.08 / $4,112.00 / $4,933.00	Facility		$975.08	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.72 / $861.83 / $983.28	Professional		$712.72	$861.83	$983.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,743.62 / $4,363.32 / $5,911.60	Facility		$3,743.62	$4,363.32	$5,911.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $971.84 / $1,367.04	Professional		$217.30	$971.84	$1,367.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.66 / $838.53 / $1,622.22	Professional		$731.66	$838.53	$1,622.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $875.16 / $4,112.00 / $4,933.00	Facility		$875.16	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $787.80 / $885.02 / $1,239.02	Professional		$787.80	$885.02	$1,239.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $505.57 / $932.71	Professional		$138.98	$505.57	$932.71
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 $874.15 / $1,017.29 / $1,382.92	Professional		$874.15	$1,017.29	$1,382.92